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ARCHIVED REPORTS_XR0006755
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6230
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2900 - Site Mitigation Program
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PR0543479
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ARCHIVED REPORTS_XR0006755
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Entry Properties
Last modified
5/5/2020 10:37:38 AM
Creation date
5/5/2020 9:56:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006755
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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Oct <br /> CHAIN-®F-CUSTODY <br /> Condor Earth Technologies, Inc. <br /> ❑ 21663 Brian Lane1125 N Golden State Blvd,Ste H ❑ Agro Environmental 1100 C Airport Blvd <br /> L I P O Bax 3905 O Box 3448 5651 N PershingAve,C-3 P O Box 30035 <br /> No u 3 '}" ! Sonora,California 95370 Turlock,California 95381 Stockton California 95207 Pensacola,Florida 32503 <br /> (209)532 0361 (209)668 9234 (209)474-1492 (904)477-0454 <br /> Fax(209)532 0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: f SEND RESULTS TO <br /> NAME SPS <br /> OFFICE <br /> itf,J <br /> ei�76 BILLING INSTRUCTIONS <br /> ❑ PLEASE FI►X ESULTS LABORATORY REPORT NUMBER. <br /> PROJECT NO 5 <br /> � �-} NO yti`' V�' Sw AO <br /> of <br /> SAMPLED BY con- <br /> (Signature) 4.,z tarn_ F` �-�- Q 1�1�c�`}' <br /> Date Time Sample lD ers 4� '� �� `S� REMARKS MISC <br /> = - , 2S <br /> R`nquished By D ate <br /> (Stg`narurr) (Signature) <br /> Relincittished By Received By Date Time <br /> (Signature) (Signature) <br /> Relinquished By p Dat Time Received By a Time <br /> (Signature) 7 L (Signature) <br /> Original-Send Yellow-File Pink-Lo Book GAROLIGRAPHICS{209]5273667 FORM J692 <br />
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