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ARCHIVED REPORTS_XR0006695
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_XR0006695
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Entry Properties
Last modified
5/5/2020 10:17:32 AM
Creation date
5/5/2020 9:35:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006695
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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k'!� c -��� ` Condor arth Technologies, Inc. <br /> CHAIN-9-CUSTODY <br /> ❑ 21663 Brian Lane � 188 Frank West Circle, Suite T <br /> N o 4567 P.O. Sox 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: 1 SEND RESULTS TO: <br /> ' 1 ` NAME: Dak rcjse <br /> OFFICE: <br /> 0: L' <br /> ❑ PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO, <br /> 1707 NO. <br /> ��'6 <br /> co . ✓ Verification <br /> SAMPLED BY: 1, <br /> (Signature) ��� con- .4v VOf <br /> tain- Q' <br /> Date tree Sample ID ers REMARKS: MISC. <br /> io a :031707-- — Lha X XCr: <br /> s8 - ALwz -- Id z x 1 <br /> AwlVXX <br /> .o N�y1f 7 <br /> - 144" 3 X x <br /> l q: [ -- o x x��w1 , <br /> 0�s 3 <br /> 171, Aw11 — f 3 x <br /> -� AWt2 --to 3 <br /> [ �..� re-.N Relinquished By: � / Date: Tim Received Bi Y= - I A Date: <br /> (Signature) / .� �d ;�� (Signature) �, <br /> 9Q� <br /> Relinquished Date: Time: Received By; Date: Time: <br /> (Si natur (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Sent! Yellow-File Pink-Log Book <br />
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