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ARCHIVED REPORTS_XR0006691
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_XR0006691
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Entry Properties
Last modified
5/5/2020 10:14:00 AM
Creation date
5/5/2020 9:33:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006691
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
Scanner
LSauers
Tags
EHD - Public
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0 Cond4j Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> N° 4888 RO, Box 3905/Sonora, California 95370 Stockton,CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209--234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: i SEND RESULTS TO: <br /> ti c0i o Lboc_4 for ,� NAME: j � <br /> -- 34 0 F` s OFFICE: l <br /> Cer_e_4 G,4 q5307 S S 2 0 6 <br /> ❑ PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO. 170 <br /> NO. <br /> �`S. ✓ Verification <br /> SAMPLED BY: (•� ° V <br /> (Signature) r- twin- <br /> Date Time Sample ID ers '` REMARKS: MISC. <br /> 30 a Ia=`�� 1787 -c�' I�•ln�' � cZ � x <br /> 0 0 17076-- a I <br /> 9/5 t 1 1 5 ) 7070— tAGnr <br /> i <br /> i <br /> Relinquished By: D e: Time: Received By: Date: Time: <br /> (Signature) �C pL 0.-o5 (Signature) . 3p10`2_ /g`,•p <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) {Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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