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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
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LSauers
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EHD - Public
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� � � � � � � r E• Er E� � � E� I• � � � <br /> Cond* Earth Technologies, Inc. 3 <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 88 Frank West Circle, Suite 1 <br /> P 0 Box 3905/ Sonora, California 9 S ckton, CA 95206 y <br /> 09487 209-532-0361 2 9-234-0518 <br /> 209-532-0773(fax) S� 09-234-0538 (fax) <br /> info@condorearth cam (e-mail) O condor@condorstockton cont(e-mail) <br /> SHIPPED TO: SEND RESULTS <br /> NAME <br /> 11e, C'* OFFICE <br /> .S" PLEASE FAX RESULTS PROJECT ' <br /> PROJECT NO NO 5 ✓ Verification oto <br /> SAMPLED BY 3ccC6 Call;n coon- <br /> (Signature) tarn- Q` i <br /> Date Time Sample ID ers �y�` REMARKS MISC <br /> 15'oo S E- <br /> 1y: s _y <br /> 15-12-1 -S �Ic3 ko id <br /> 14.10 54 E- <br /> `oLi 54E <br /> I Ad <br /> ' 9 <br /> PJ S r4,UD � <br /> Relinquished B Date Time Received By Dat Time <br /> (St <br /> (Signature) .13' (Signature) i / x— -69 <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) <br /> {Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br /> i <br />
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