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ARCHIVED REPORTS_XR0006741
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_XR0006741
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Entry Properties
Last modified
5/5/2020 10:30:11 AM
Creation date
5/5/2020 9:52:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006741
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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Inc *3- 13Conde Earth Technologies, , <br /> CHAIN-OF-CUSTODY <br /> 21663 Brian Lane 188 Frank West Circle,Suite I ❑ 1100 Airport Blvd,Bldg C <br /> 4497 Sonora California 95370 Stockton,Califoriva 95206 Pensacola,Florida 32504 <br /> (209)532 0361 (209)234 0518 (850)477 0454 <br /> FAX(209)532 0773 FAX(209)234 0538 FAX(850)477 0534 <br /> email candor@mlode com email condorl@fps net email condorpnsa@aol corn <br /> SHIPPED TO: � SEND RESULTS TO <br /> NAME <br /> N <br /> -- - -- <br /> OFFICE <br /> ❑ PLEASE FAX RESULTS- PROJECT <br /> PROJECT NO D NO ✓ Verification <br /> SSS . <br /> of <br /> SAMPLED BY con- �Qv ' <br /> (Signature) lr tarn- Q` <br /> Date Time Sample ID ers R E M A R K S MISC <br /> 7 zz 0 L) a 7 <br /> / r <br /> 11 5-b - 11 sq 9 do0ril- <br /> �z vT lkv ) <br /> Relinquished By Dae Time Recervcd By Time <br /> (Signa ure) ` (Signature) <br /> Relinquisht-d By Datc Time Received By Date Time <br /> (Signature) (Signature) <br /> Relinqui,,hed By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> 01 iginal-Send Yellow-File Pink-Log Book <br />
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