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ARCHIVED REPORTS_XR0006728
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_XR0006728
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Entry Properties
Last modified
5/5/2020 10:33:40 AM
Creation date
5/5/2020 9:48:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006728
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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EHD - Public
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• Conde Earth Technologies, Inc. i <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane X 188 Frank West Circle, Suite 1 Off- <br /> N° 5938 PO Box 3905 1 Sonora,California 95370 Stockton, CA 95206 <br /> 209-532-0361 209-234-0518 81 5v <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> _5.y,)A 1 jrCj —14 r info@condorearth com(e-mail) condor@condorstockton com(e-mail)SHIPPED TO: SEND RESULTS TO 7030S? <br /> C VW� NAME Dao Kne T <br /> ^.eD6e—` OFFICE <br /> ❑ PLEASE FAX RESULTS , c , PROJECT <br /> PROJECT NO <br /> NO �S�S t� J Verification <br /> 1707 <br /> SAMPLED BY of <br /> �,�,i,t.�� (JC/IS con- 4v V^ <br /> (Signature) ! tain- e <br /> a <br /> Date Time Sample ID ers A REMARKS MISC <br /> r o3 0100 1707 —AP 0 5 * Sox?� ` :k <br /> 13 O 1707- MVI- $///b M - F_?bF_ <br /> -5/4/03 024_ o -/14/3 - 91V03 T r n <br /> 103 - lJ j- g n <br /> 013-0 1707- AW - A <br /> 11 30 170 - AG/ - 80 <br /> 0710 1707 - ,41W7 <br /> ESoS 707- 10- 0 u v bo/c/ ,'Mc3 1 <br /> 17-10 17crI- ,01 LNI)M0611, <br /> 113 7 — - <br /> - VW - 03 KKR r fI � <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) o iJ (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) I (Signature) <br /> Relinquished By Date Time Received By D to Time <br /> (Si nature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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