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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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Entry Properties
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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�F <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: &2J0 <br /> C49 c, #S# <br /> (v2J0 f gcrF1c Ova <br /> St-a t,er-o C 411 s <br /> SAMPLERS (signature) <br /> -'� / 7 k4lr�44 Number -ISA-7v <br /> of � REMARKS <br /> Station <br /> Humber Date Time9 ILOlu CDStation Location Con" <br /> tainers to <br /> P 'q /V a rpt it T ifiv 4 io <br /> ( w s w ( yc 'X i 1' L F�� ,�► F 3 G G 9 <br /> /V oiei`!f t J¢N k-/y l'0 D1,� <br /> Z l� f33� X r X ly- <br /> 3 20 N0P.Itt t4►uk 1;Al f <br /> y ESQ 14 h/ L_6S tp T4 GG q'3(;C l <br /> ID to/ T,4Nk 6 r. S <br /> g3Gc7 <br /> 4 <br /> IySS MIb.0IE 7-4Nk- <br /> 14) <br /> g3GC7 <br /> S 1H) D X 4 o AS S 0 L / O1J <br /> 43 P1 rADLF I->#dK �� I 7L yL �C �4 3 �- GC_ -7 <br /> 15,ro y e a s rrf �4�k G 'T <br /> 9 a4ria rpr► k �j q GG 7G <br /> i <br /> Relin fi4shed (signaturr): Date / Time Received by (signature). Relinquished by(signature). Date / Time Received by (signature): <br /> W-4o 27/g3 to-30 z/zIA3 <br /> Company ncy: —T��! Company or Agency: ,Ma1► 'Company or Agency: Company or Agency: <br /> 10. 30 <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 /> linquished by(signature): Date / Time Received for Laboratory by. Date / Time Remarks/Shipping information <br /> Company or Agendy• (signature) <br />
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