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ARCHIVED REPORTS_XR0006733
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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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_XR0006733
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Last modified
5/5/2020 10:39:16 AM
Creation date
5/5/2020 9:49:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006733
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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womb►t1 F <br /> WHF Environmental Consultants, Inc <br /> Past Office Boa 6729 1 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-67_19 <br /> (209) 579-8138 <br /> PROJECT RAM: <br /> z7 ev� <br /> SAMPLERS (s)gnatureJ <br /> Number IF <br /> of 4 I "V REHARKS <br /> Station <br /> N,mber Date Time o a � Station Location Don' <br /> u c, tainers <br /> -47 <br /> ,r5 Gr � <br /> I 1 <br /> p /t <br /> ar �- NI f/✓ �/ ljl� ��7' /Z <br /> — �f <br /> Pelinquna4b <br /> d b ( nature) Date / Time Received by (signature) Relinquished by(signature) Date / Time Received by (signature) <br /> c7 <br /> cy r ~ J�3 Company or Agency- Company or Agenc) Company or Agency <br /> Reiinquished by(signature) Date / Time Received by (signature) Relinquished by Date / Time Received by (signature) <br /> Company or Agency Company or Agency Company or Agency ( Company or Agency <br /> i <br /> Relinquished by(slcriatu-e) Date Time Received J.o�4abOr b1 Date Time Remarx;/jh1H71nC InTormatlon <br /> i <br /> Company or Agency (s' s- e `W <br />
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