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ARCHIVED REPORTS_XR0006731
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_XR0006731
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Entry Properties
Last modified
5/5/2020 10:30:04 AM
Creation date
5/5/2020 9:49:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006731
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. - <br /> CHAI -OIC-CUSTODY <br /> ❑ 21653 Brian Lane 188 Prank West Circle,Suite I <br /> n� <br /> P O Box 3905/Sonora,California 95370 Stockton,CA 95206 � v <br /> , , Wt 6112Z N° 5637 209-532-0361 209-234-0518 t <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> rA7— info@condorearth com(e-mail) condor@condorstockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> NAME- OC>r7 <�CSSt <br /> OFFICE <br /> ❑ PLEASE FAX RESULTS PROJECT ci'c' <br /> PROJECT NO1.70..7 NO �ti5 Z4 ✓ Verification <br /> SAMPLED BY of -V 4 <br /> (Signature) Gvell.s con- <br /> tarn- <br /> a, o <br /> Date Time Sarnple ID ers a REMARKS <br /> j S _ sv sQMD3IS <br /> 61T ff) VA kila � <br /> bYl 0 <br /> v <br /> A� <br /> Relinquished By ^ ' Date Time Received By Date Time <br /> (Signa ure) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Sr nature) (Signature) <br /> .UIV tGt"66 I <br /> Original-Send Yellow-File <br /> Pink-Log Book <br />
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