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ARCHIVED REPORTS_XR0006712
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_XR0006712
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Entry Properties
Last modified
5/5/2020 10:27:33 AM
Creation date
5/5/2020 9:45:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006712
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
Tags
EHD - Public
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0 Conde Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> PQ Box 3905/Sonora, California 95370 Stockton, CA 95206 <br /> - <br /> 6910 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth corn(e-mail) condor@condorstockton corn(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> gc e_) j AIiS _ _ NAME _A)AA <br /> OFFICE ioN. (f A <br /> PLEASE FAX RESULTS PROJECT <br /> PROJECT NO <br /> ✓ Verification <br /> �N0 �StiS � <br /> SAMPLED BY' 7 l <br /> (Signature) con- <br /> fain- Q" <br /> Date Time Sample IDI ers �`� ( REMARKS MISC <br /> Ak <br /> i - ?� <br /> 1U�L 5 � iL <br /> dt <br /> mi t FA X )C W141j <br /> U �wS <br /> 24'SA <br /> r' 7 �. <br /> Relinquished By r' f Date Time Received By <fsr r - Date Time <br /> (Signature) �' � '50 (Signature) <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 /> Oi iginal-Sen f Yellow-File Pink-Log Book <br />
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