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ARCHIVED REPORTS_XR0006686
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_XR0006686
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Entry Properties
Last modified
5/5/2020 10:15:15 AM
Creation date
5/5/2020 9:31:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006686
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
Tags
EHD - Public
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tt� � l� l� II• ll♦ ll♦ <br /> Condo Earthtt� Technologies, 1nc - --- t 1,,P <br /> CHAIN-OF-CUSTODY <br /> 21663 Bean Lane � 188 Frank West Circle,Suite t E] 1100 Airport Blvd,Bldg C <br /> 4 Sonora,Califomia95370 //��[„Stockton,Cali forma 95206 Pensacola,Flonda 32504 <br /> (209)532 0361 (209)234 0528 (850)477 0454 <br /> FAX(209)532 0773 FAX(209)234 0538 FAX(850)477 0534 <br /> email condor@ndode coin email condorl @fps net email condorpnsa@aot coin <br /> SHIPPED TO: GLOP /r� NO-ASEND RESULTS TO.7 J NAME• UL J e <br /> OFFICE, <br /> A On <br /> ❑ PLEASE FAX RESULTS: PROJECT' C- 1Z <br /> PROJECT NO POA <br /> NOSSVerification <br /> / v <br /> SAMPLED BY < <br /> (Signature) of <br /> rlelr'5�P (am- T' <br /> con- <br /> (j Q` , <br /> Date Time Sample ID eC$ REMARKS MISC <br /> 0 2Z 020 70 W f 1 2,, I y-I Ix <br /> 1115 1 LU q I 6j ItX V WY-ol A4 05 Ck5 �7 <br /> 21D i e S���ZSI <br /> 3oS ,M w7 S�Z <br /> s5 ISG \ ^ s43U <br /> Relinquished By 3L DaTorte Received By Date Time <br /> F <br /> (Signa ure) ,Vt,�f�� ob (Signature) IC0.0 <br /> /S <br /> Rchnquishi.d By Dae Time Received By Date Time <br /> (St nature) (St nature) <br /> Relinqui,,hed By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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