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ARCHIVED REPORTS_XR0009570
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PARK
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248
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2900 - Site Mitigation Program
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PR0542235
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ARCHIVED REPORTS_XR0009570
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Entry Properties
Last modified
5/4/2020 3:14:29 PM
Creation date
5/4/2020 2:34:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009570
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
Scanner
LSauers
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EHD - Public
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I <br /> Condc* Earth Technologies, Inc. • <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> g � � � P O Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> s a� 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 /> I <br /> SHIPPED TO: SEND RESULTS TO <br /> t lb:5 NAME l <br /> OFFICE —_circ rcTnN r14 <br /> �9 <br /> A PLEASE FAX RESULTS �kOJECT <br /> PROJECT NO n i 4 ✓ Verification <br /> NO <br /> 4StiS <br /> of <br /> SAMPLED BY ,,, r''r/Irst con- <br /> tain- <br /> Date <br /> on- <br /> (Signature) tarn- <br /> Date Time Sample ID ers REMARKS MISC <br /> Ij J <br /> A It I' vc".- k }C l f�1f, ryHJ ` }IJ i ilf <br /> I <br /> ,Pili) `� T r`Alif <br /> T- <br /> Relinquished By `� i�� Date Time Received By t n �y Date Time <br /> (Signature) `� nv`1 1� p� k 0 (Signature) 4 r d l S 40 <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date TingeReceived By Date Time <br /> (Signature) 7 (Signature) <br /> Ot iginai-Send Yellow-File Pink-Log Book <br />
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