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87-947
EnvironmentalHealth
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EIGHT MILE
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4200/4300 - Liquid Waste/Water Well Permits
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87-947
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Entry Properties
Last modified
11/27/2019 10:08:44 PM
Creation date
12/4/2017 11:47:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
87-947
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
SITE_LOCATION
AT INTERSTATE 5
RECEIVED_DATE
03/25/1987
P_LOCATION
A G SPANOS
Supplemental fields
FilePath
\MIGRATIONS\E\EIGHT MILE\0\87-947.PDF
QuestysFileName
87-947
QuestysRecordID
1723191
QuestysRecordType
12
Tags
EHD - Public
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�vt ts,v�tits SAN JOAOUIN LOCAL HEALT11 DISI 141C1 F SERVING <br />} .mss cutbanson. Pros. CltrolCady <br /> Patricia E. Vannuccl. SOC-7. `Stan Joaquin#Mhorte[le Van Spronaen 1601 East Hazelton Avenue, P. 0. Sox 2009 Q County <br /> ]East Phnonlet 5ltxkton.Galllorn i3 95201 city a t:acaion <br /> E <br /> Fern BsrQbee Cllr of Manteca <br /> Vanlif L. Flores 209146"781 City of Ryon <br /> John D.!Nast. M.D. City al Stockton <br /> City of Tracy <br /> ,William J.Wad* � Jopl Khannk I&D.,M.P.H.,District Health 0111cer San Joaquin County <br /> Mary Anna Law San Joaquin County <br /> AUTHORIZATION TO RELEASE. ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> 1 <br /> SITE ASSESSMENT INFORMATION <br /> 1. the undersigned owner and/or operator of the property and/or facility } <br /> I located atytd5 _ . � � ` ' Sec 1T4�[C�1c� ►n,ePp�jr+atTe Arrf� 1�M-` s <br /> 4hereby authorize <br /> -to release any 'and all analytical results. geotechnical data and site <br />� y <br /> essessoCint information to the San Joaquin Local Health 'Oistrict as soon- <br /> -os it Is'available and at the sante time it is -provided to we or ti0r <br /> presentative. <br /> Wne /Operator: Ti tl e: <br /> _ . :Address Phone: �17 <br />�: _- • � Wit•- � - _ - <br /> Ilate:. J� <br /> : <br /> - <br /> b <br /> F <br /> j}} T <br /> L <br /> I) <br /> F <br /> _ - t <br /> ` v <br /> 1 <br /> . . e <br /> EH 08 05 "UGT 13 <br />
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