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88-3258
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1521
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4200/4300 - Liquid Waste/Water Well Permits
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88-3258
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Entry Properties
Last modified
12/11/2019 11:18:13 PM
Creation date
12/4/2017 5:14:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
88-3258
STREET_NUMBER
1521
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WY
City
STOCKTON
SITE_LOCATION
1521 W CHARTER WY
RECEIVED_DATE
12/12/1988
P_LOCATION
AL NIELSON
Supplemental fields
FilePath
\MIGRATIONS\C\CHARTER\1521\88-3258.PDF
QuestysFileName
88-3258
QuestysRecordID
1684476
QuestysRecordType
12
Tags
EHD - Public
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.4 <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND SITE <br /> ASSESSMENT INFORMATION <br /> I, the undersined owner and/or operator of the property and/or facility <br /> located at do-,ti6� 05 ./5r21 Uu. CN�9i2rE2 ly4y s'roCtlfbry, <br /> hereby authorize <br /> to release any and all analytical results, geotechnical data and site <br /> �I <br /> assessment information to the San Joaquin Local Health District as soon as <br /> it is available and at the same time it is provided to me or my <br /> representative. <br /> Owner/Operator: 24Title: <br /> Address: Cid A 6-t-.A. W11le Phone: '146-Z'ero <br /> Date: <br /> I <br /> I. <br /> IN . <br />' �I <br />
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