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ARCHIVED REPORTS_XR0006739
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_XR0006739
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Last modified
5/5/2020 10:38:48 AM
Creation date
5/5/2020 9:51:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006739
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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%iF <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 HATE. C Iq N <br /> SAMIPL�R ' (signature) <br /> Humber IV � <br /> Q ;) <br /> of REMARKS <br /> Station a �, <br /> Number Date TimeC <br /> Station Location taners <br /> i <br /> �" Slll �P� � � Ft� n . <br /> f <br /> - �9tiS rr � , j Y Si�itilr'cE" <br /> 7-4-, 3S` «r <br /> f !` lbay <br /> //o k - <br /> Rei qui shed by(signature) Date / Time Received b� (signs ure). Relinquished by(signature) Date / Time Received by (signature). <br /> Company or Agency `= ' Com�yany or Agepcy. =f/' /�; enc Company or Agency. Com . <br /> or A . <br /> r l A I,+_- / - p Agency <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 /> Relinquished by(signature): Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Y <br /> ' Company or Agency (signature) <br /> _ i <br />
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