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ARCHIVED REPORTS_XR0006693
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006693
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Entry Properties
Last modified
5/5/2020 10:12:50 AM
Creation date
5/5/2020 9:34:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006693
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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Condo*Earth Technologies, Inc. - � <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane 88 Frank West Circle, Suite I <br /> No $ P.O. Box 3905 /Sonora, California 95370 S �-ytockton,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: SEND RESULTS TO: �Q <br /> NAME: C <br /> ter \° OFFICE: _.. <br /> ❑ PLEASE FAX RESULTS: PROJECT: R C. <br /> PROJECT NO. � � J Verification <br /> NO, <br /> SAMPLED BY ofcor- <br /> (Signature) <br /> Date Time ample ID ers REMARKS : MISC. <br /> It } I4 3 <br /> [O toq 5, 1 �-L � 0 <br /> LA <br /> l0 t.1-0`� <br /> rJ i � r <br /> Reiinquished B . Date: Time: Received B <br /> (Signature) Y' a Time: <br /> r <br /> �k q..�} {Signature) t' .z v Yi tt h„1/�..�! ��'• } lftf <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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