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ARCHIVED REPORTS_XR0009621
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_XR0009621
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Entry Properties
Last modified
5/4/2020 3:22:05 PM
Creation date
5/4/2020 2:47:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009621
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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LSauers
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EHD - Public
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CHAIN-OF-CUSTODY <br /> Condor arth Technologies, Inc. <br /> ❑ 21663 Brian Lane1125 N Golden State Blvd,Ste H Q Agro Environmental L) 1100 C Airport Blvd <br /> NNQ t . �j �7 P O Box 3905 0 Box 3448 5651 N Pershms Ave,C-3 P O Box 30035 <br /> 3 V 4 I Sonora,California 95370 Turlock,California 95381 Stocklon California 95207 Pensacola,Florida 32503 <br /> (209)532-0361 (209)668 9234 (209)474-1492 (904)477 0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477 0534 <br /> SHIPPED TO: SEND RESULTS TO / <br /> PICA1151 t NAME L OL'/ eff"'2GJ <br /> OFFICE <br /> BILLING INSTRUCTIONS <br /> ❑ PLEASE FAX RESULTS' LABORATORY REPORT NUMBER' �JI� <br /> PROJECT NO f NO <br /> a <br /> SAMPLED BY Of <br /> (Signature) / - � con-to n- l �,'�' 4 <br /> Date Time Sample ID ers 1`p ,S4 O� 4 REMARKS MISC <br /> 72- <br /> :T7 <br /> AG+% 3 7 <br /> f 3zf!� 1=03 1, -J4�V 0y y 2- 31 <br /> 3i) Wo -AtO3- Y m v 2 �5. <br /> i <br /> Relinquished By Date Time Received By Date –il-n-le <br /> (St nature) -- igna ure r– <br /> Relinquished By Date Time Received By — <br /> gnYat ure (Signature) <br /> Relinquished By 1341: TALIime Received By Date Time <br /> (Sign ture) (Signature) <br /> Original-Send Yellow-File Pink-Log Boot. GAROLI GRAPHICS(L'W)5273667 FORM J02 <br />
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