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ARCHIVED REPORTS_XR0006683
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_XR0006683
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Entry Properties
Last modified
5/5/2020 10:06:20 AM
Creation date
5/5/2020 9:30:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006683
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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EHD - Public
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�*=11111111 tt_ TonMdWEarnhoTecl7noToBrespTncW-I(7 <br /> CHAIN-OF-CUSTODY <br /> 21663 Bnan Lane 188 Frank West Circle Suite I 1100 Airport Blvd,Bldg C <br /> 4388 Sonora,California 95370 Stockton,Califomia 95206 Pensacola,Flonda 32504 <br /> (209)532-0361 (209)234-0518 (850)477-0454 <br /> FAX(209)532-0773 FAX(209)234-0538 FAX(850)477-0534 <br /> email condor@mlode corn email condor]@]ps net email condorptisa @aol coal <br /> SHIPPED TO: SEND RESULTS TO <br /> e NAME <br /> IMMS Q 5e- OFFICE _ 198_ FrAn� I4/ey;r Cr,, Srp <br /> !! !d seto" c'7«... 9,53Jrf ST0c=kap CW-_ 155-06 <br /> W PLEASE FAX RESULTS �j PROJECT, am p9c <br /> PROTECT NO f 70 NO ���� , ✓ Verification <br /> SAMPLED BY of Py �� <br /> (Signature) r con- <br /> _ tarn- Q' 0�0�0 <br /> Date Time Sample ID ers b REMARKS MISC <br /> '111 q 9 M3 1707—/Yf w — 10114 9 2 <br /> 10 1q 1a 9 11:�3 17a —M -- cd��Y 2x Ix <br /> j° ► <br /> /jj 4707—.SV-3 — '0hq1q1 2 <br /> WN99 17-90 170 —APAI-3— 1°11119q I <br /> I <br /> Relinquished B � Date Time Received B ���5/ TO <br /> (Signature) a WWI 407 (Signature) 1 1 <br /> Relinquishi-d By Date Time ReceivWfiy Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Or]gala[ 5cnt1 Yellow-File Pink-Log Book <br />
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