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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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Entry Properties
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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� � � iit■r r w 1•$� r� <br /> MmF M <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAPIE: `` <br />� 1 V <br /> SAMPLERS ( ignatur.. <br /> Number rr�a�e- <br /> L7 AEHARKS <br /> c6 <br /> 5ta <br /> Number Date Time Station LocationcL <br /> Con- <br /> tamers <br /> MWS Z X <br /> W7 Z X <br /> ss� Z X X <br /> 1 <br /> Vc <br /> ture): Date / Time Rec v d by (5 na r ): Relinquished by(signature) Date / Time Received by (signature) <br /> ompan or o an A epcy: Company or Agency Company or Agency- <br /> 00 �� <br /> Relinquished by(signature) Hate / Time Received by (signature): Relinquished by Date / Time Received by (signature), <br /> Company or Agency ��`� Company or Agency Company or Agency Company or Agency. <br /> Rel ul (s gnar Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> 0 o g ncy• /��fs1 G (signature) I.LLCL toy <br /> ��-- RM U ski <br />
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