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ARCHIVED REPORTS_XR0006710
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_XR0006710
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Entry Properties
Last modified
5/5/2020 10:23:02 AM
Creation date
5/5/2020 9:45:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006710
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. i <br /> CHAIN—OF—CUSTODY ❑ 21663 Brian Lane ❑ I88 Frank West Circle, Suite I <br /> N 5 1 8 8 PO Box 3905 1 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@ condors tockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> /`� a LA � e,-tb tt` r <br /> NAME Pao j <br /> Z 0 � ��a _ OFFICE I fl 9 5/,� n We-sr 6 r 715reT <br /> Gg'C �} S G g,5-Z <br /> ❑ PLEASE FAX RESULTS PROJECT - c 7-r,eA,7_V'1e-,T— <br /> PROJECT NOe % <br /> 1 ` 0 7L NO �S�S �� N ✓ Verification <br /> SAMPLED BY ' of v <br /> (Signature) con- <br /> tain- <br /> Date <br /> on-tarn-Date Time Sample ID ers a REMARKS MISC <br /> +1 00' <br /> X <br /> /I ✓ <br /> 5, 0 I <br /> i <br /> Relinquishe2�11 <br /> Date Time Received By D to Time <br /> (Signature) 7 �S (Signature) <br /> o <br /> ,Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) i (Signature) <br /> Oi igindf-Send Yellow-File <br /> Pink-Lo2 Book <br />
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