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ARCHIVED REPORTS_XR0006702
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_XR0006702
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Entry Properties
Last modified
5/5/2020 10:27:05 AM
Creation date
5/5/2020 9:40:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006702
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
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EHD - Public
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�..� ...� NEUi <br /> i Conde Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY s ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> P O Box 3905/Sonora, California 95370 Stockton, CA 95206 <br /> 09525 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> mfo@condorearth com(e-mail) condor@ condorstockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> - - - 1_ xreICrltil�_ NAME -� <br /> u+ i4 _ OFFICE 2ire 4- <br /> .® PLEASE FAX RESULTS PROJECT ,' -= c (•r ka <br /> PROJECT NO ✓ Verification <br /> 1-10-D NO <br /> SAMPLED BY 0,0 of ti <br /> con- <br /> (Signature) tarn- <br /> Date Time Sample ID ers %? REMARKS MISC <br /> l( -lz.cS3C� Mw"i I A Ix X , <br /> x t <br /> � •� 1AW-3i- <br /> 1 'SG c4 - <br /> � <br /> 15 i — 1 2-D 4""e <br /> 5�i•,,! u��it�cTiPM� i��4�� >;iiLc ire{t <br /> Relinquished By Date Time./ Received By P pate ` Time <br /> (Signature) /6-1;j--05 l (Signature) Y <br /> Relinquished By Date Time Received By 'ice' Date Time <br /> (Signature) (Signature) -- <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) I (Signature) <br /> ` Original-Send Yellow-File Pink-Log Book <br />
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