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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0523626
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COMPLIANCE INFO
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Entry Properties
Last modified
2/12/2020 12:21:04 PM
Creation date
2/12/2020 11:07:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523626
PE
2950
FACILITY_ID
FA0015947
FACILITY_NAME
IN THE PUBLIC RIGHT-OF-WAY
STREET_NUMBER
0
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
W FREMONT ST
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Condor Earth Technologies , Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> N°— 5 0 5 1 P.O. Box 3905/Sonora, California 95370 Stockton,CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: n SEND RESULTS TO: <br /> NAME: l-ce M D r V__ <br /> - OFFICE: -j+o fl✓-\ <br /> CY PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO. L-0 3S C NO. ���� <br /> � e � ✓ Verification <br /> P <br /> SAMPLED BY: �]� of <br /> (Signature) <br /> (Signature) '/ con- <br /> ___ tain- <br /> Date Time Sample ID ers �(Q U REMARKS : MISC. <br /> 3-15- 132a <br /> 41x:�%L-- 0-1 A/ ✓ / ./ 144, b Z <br /> 13� yDC— GP-2 I 2 I '"e- Rrsd DtP <br /> 15oS W"33(_ GP .Z -5 T ,� <br /> 13y S y o,3 C— (3f-3 -7- ., <br /> � 13y rpA v 7rO- <br /> I�DS <br /> go 53 040 7-7- <br /> I z0 141)38c --- Gp_ <br /> 1651 D J C)A5 t-1 <br /> Relinquished By: J Date: Time: Received By: Date: Time: <br /> t � ' e"3 <br /> (Signature) lt,�"'� l� 3 l�/p 41:g6 (Signature) /10 verrcx_ _03-(G-(0S_ 16 <br /> Relinquished By: Date: Time: Received By Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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