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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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CondolpEarth Technologies, Inc. 4p <br /> CHAIN-O&C V STOD I ❑ 21663 Brian Lane 188 Frank West Circle, Suite I * ' <br /> PO Box 3905 /Sonora, California 95370 Stockton,CA 95206 <br /> N° 5696 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth cam(e-mail) condor@condorstockton cum(e-mail) <br /> SHIPPED TO_ SEND RESULTS TO �+�t <br /> l� h G NAME J 2It W r <br /> O OFFICE _fes gFrCt n o f C�St�� <br /> CA 953-07 .J 4 A SZQ <br /> ❑ PLEASE FAX RESULTS PROJECT CckG I OrAs' PaG •C_C.t bbn Unit- <br /> PROJECT <br /> nitPROJECT NO <br /> 1707 NO4Sti`' ✓ Verification <br /> SAMPLED BY of V <br /> �� <br /> (Signature) con- <br /> -��Jk- tain- <br /> Date Time Sample ID ers REMARKS MISC <br /> 1Z 9 C 0 05 1707E - rn c7`--%j I XX <br /> 11- 14 10 1 0 170 7.0 <br /> 11 0 t0 15170 713-J Nznt 2AX <br /> Relinquished 8 D Time Received By Date Time <br /> (Si nature) /9 0 /6• (Signature) l r°� �� G j. 14 <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-Send ; Yellow-File Pink-Lag Book <br />
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