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ARCHIVED REPORTS_XR0006736
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_XR0006736
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Last modified
5/5/2020 10:37:53 AM
Creation date
5/5/2020 9:50:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006736
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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Fm.T of <br /> 7LT <br /> WHF Environmental Consultants, Inc. <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME• <br /> I <br /> 2 <br /> LE signatur( A <br /> !lumber V <br /> of V REKWS <br /> Number to ime i Station Location Can- <br /> 0L tamers <br /> KILN_ k hill) <br /> w+a <br /> _• 3 C- <br /> `y 3CC (3 <br /> +v.— ♦ s <br /> OV <br /> — <br /> 74— <br /> k SCC <br /> 3 <br /> Relinquished by(s19nature)• Date / Time Received by (signature): Relinquished by(signature)• nate / Time Received by (signature): <br /> Company or Agency. Company or Agency: Company or Agency: Company or Agency: <br /> I <br /> Relinquished 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 /> quish y(s tu�j Date / Time <br /> Received for Laboratory Date / Time Remarks/Shjpping inf ation / <br /> /0 "-�-•f-� (s i g n a /t�,1,72 - / ' �. a�east at !/lam <br /> company or A c 1 / <br /> GtJ lQ>'G� E' L9aa�� l�f`'� '"r <br /> f <br />
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