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ARCHIVED REPORTS_XR0009617
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_XR0009617
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Entry Properties
Last modified
5/4/2020 3:17:23 PM
Creation date
5/4/2020 2:46:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009617
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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CHAIN-OF-CUSTODY Condor Earth Technologies, Inc. <br /> 21663 Brian Lane 1125 N Golden State Blvd,Ste H <br /> �] ❑ Agro Environmental [] t l00 C Airport Blvd <br /> Na- C,)3•a 2 6 P O Box 3905 O Box 3448 5651 N Pershing Ave C-3 P O Box 30035 <br /> v�J Sonora,California 95370 Turlock,California 95381 Stockton,Califonn i 95207 PLINI ula,Florida 325D3 <br /> (209)532 0361 (209)668-9234 (209)474-1492 (904)477-0454 <br /> Fax(209)532-4773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO <br /> C_reo4 <br /> I e f NAME <br /> OFFICE <br /> �6 BILLING INSTRUCTIONS f <br /> ❑ PLEASE FAX RESULTS LABORATORY REPORT NUMBER V <br /> PROJECT NO 5 <br /> • NO �5ti5�v v �Sw y <br /> SAMPLED BY _ of <br /> (Signature) ,, con- <br /> Cain- tU+ q� <br /> Date Time Sample ID ers ������ O��� `��' REMARKS MISC <br /> _71211,27 2(23 5 - AA U. 7 7/7t hi 12- _ _ 17 3 35-7c <br /> 3399 <br /> 23 3 8Z <br /> JAW <br /> -3, �g <br /> FRelinquished <br /> y Date Time Received By <br /> (Si nater <br /> Date Time Received B e <br /> (Signature) <br /> By �' Dae Time Received By ate Time <br /> (Signature) QPC-7a <br /> Ongl nd YeIIOW-F� Pink-Log Book GAROLI GRAPHIC 79887 FORM J692 <br /> r I♦ 1� �� t� iiiitiiitiir +it■r �■ .� <br />
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