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ARCHIVED REPORTS_XR0006724
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_XR0006724
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Entry Properties
Last modified
5/5/2020 10:33:26 AM
Creation date
5/5/2020 9:46:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006724
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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0 9151 X Condor Earth Technologies, Inc <br /> g 9 <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 188 Frank West Circle, Suite I <br /> P O Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> N° 6637 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: SEND RESULTS TO <br /> ���.___ n�/;� nw►c.,t NAME <br /> OFFICE J8� Fr 49 A A Wer, ,Srd-.- <br /> sta6� ton 95Z15- _57-0c4 C o.SZo <br /> PLEASE FAX RESULTS PROJECT <br /> PROJECT NO 17 QNO 4�ti 5 X ✓ Verification <br /> SAMPLED BY Of <br /> V <br /> con- e' <br /> (Signature) tarn- Q� <br /> Date Time / Sample ID r ers REMARKS MISC <br /> 5.3 Q 70�{�-/r%) Jjsz4/ G <br /> mTF o� <br /> o, <br /> O ,r 01 <br /> i� o5 <br /> t{�r- <br /> so <br /> Relinquished B Date Time Received By Date �m <br /> (5fgnature 10 0 30 (Signature) 2 � � <br /> Relinquished y Date Time Recewed ,-AP"" Date Time <br /> (Signature) i (Sigmv <br /> Relinquished By �20 <br /> Date Time Re c to Time <br /> (S�gnatur Signa <br /> Of cgi encl Yellow- Pink-Log Book <br />
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