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ARCHIVED REPORTS_XR0009564
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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PR0542235
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ARCHIVED REPORTS_XR0009564
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Entry Properties
Last modified
5/4/2020 3:25:02 PM
Creation date
5/4/2020 2:32:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009564
RECORD_ID
PR0542235
PE
2960
FACILITY_ID
FA0024262
FACILITY_NAME
CANEPA CAR WASH
STREET_NUMBER
248
Direction
E
STREET_NAME
PARK
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13906035
CURRENT_STATUS
01
SITE_LOCATION
248 E PARK ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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• Conch Earth Technologies, Inc. !- <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> 6876 <br /> P O Box 3905/Sonora,California 95370 Stockton,CA 95206 <br /> N2 6 8 7 6 209-532-0361 209-234-0518 <br /> 209--532-0773 (fax) 209-234-0538 (fax) <br /> 7, � -� � , info@condorearth com(e-mail) condor@condorstockton com (e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> 4raon L4a>5 NAME _`bort <br /> OFFICE <br /> V PLEASE FAX RESULTS PROJECT ree+ <br /> PROJECT NO /Z/_W /// / / ✓ Verification <br /> Zo 3� NOo <br /> 5ti5 <br /> SAMPLED BY con N' <br /> (Signature) tarn- Q` r <br /> Date Time Sample ID ers �`� REMARKS MISC <br /> 1 1310 11 <br /> o lvoq u3$ —MW I — I lit aq q X No <br /> I i b b3$ — u s 3 — t I n q !c <br /> baa -- X X '4- kt <br /> kt <br /> Mi ba I i 2 DC.AI Eb-6 1_511r <br /> ETg <br /> !E: i TAME) <br /> T-0 a o <br /> 9 oe'�)r �r <br /> Relinquished By� i7lJ,- i Date Time Received By De Time <br /> (Signature) �' 1 ly a5 s� (Signature) [ d �S <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) I (Signature) <br /> Ot iginal-Send Yellow-File Pink-Log Book � <br />
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