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ARCHIVED REPORTS_XR0006646
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006646
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Last modified
5/5/2020 10:13:22 AM
Creation date
5/5/2020 9:22:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006646
RECORD_ID
PR0543479
PE
2960
FACILITY_ID
FA0024679
FACILITY_NAME
CANEPA'S CAR WASH
STREET_NUMBER
6230
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
081360030
CURRENT_STATUS
01
SITE_LOCATION
6230 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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LSauers
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EHD - Public
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WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> f ` a <br /> 1,�M ytQi <br /> E (sign re) Humber IT <br /> of REMARKS <br /> Stat on <br /> Number Date Time c L Station Location Con- <br /> , tainers <br /> Xi <br /> A I <br /> 1 & 'lel- 1 <br /> lSZYWO3 9461v- X <br /> N6 INas Alle.,-B 1 k <br /> _T _.j <br /> V d by ign D�Zat�e� /� Time <br /> ime Recei ed by (sig ureh✓.- Relinquished by(signature) Date Time Received by (sig <br /> nature). <br /> g Company or A encY• Company or Agency, <br /> Relinquished by(signature) Date / Time Received by (signature): Relinquished by pate / Time Received by (signature) <br /> Company or Agency Company or Agency Company or Agency Company or Agency: <br /> I <br /> R shedyby e} Date1 / Time Received for Laboratory by Date / Time Rema-ks/Shipping Information <br /> ompa or Agency: /�[S (signature) lel/, 15 <br /> 47-0 <br />
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