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ARCHIVED REPORTS_XR0006649
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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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_XR0006649
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Entry Properties
Last modified
5/5/2020 10:24:42 AM
Creation date
5/5/2020 9:23:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006649
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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SHF �S E <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 NAME. <br /> L C <br /> SAMPLERS (signat I Number <br /> of <br /> REMMKS <br /> Station <br /> Number Date Time v S0 1 <br /> tation Location Con" <br /> tainers <br /> '/,b <br /> )63b �( <br /> 2 Z <br /> lwd ix 1 <br /> &J Ix mn 03 Z X <br /> IVIVL3 &k&A I )< <br /> rs >C x <br /> s *5 <br /> /s <br /> RR30 e y(s nature)- Date / Time Received by (signature).� <br /> Relinquished by(signature) Date / Time Received by (signature). <br /> 3— 9y ozr <br /> ency /7Company or Agency, Company or Agency. Company or Agency: <br /> Relinquished by(signature) Date / 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 /> Reiic►qulshed by(signature) Date / Time Received for Lanoratory by Date / Time Remarks/Shipping Information <br /> Company or Agency- (signature) i 3 <br /> 5 CX2 c_r,� L%s <br /> r <br />
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