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SR0078563
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078563
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Entry Properties
Last modified
6/27/2018 2:04:06 PM
Creation date
3/1/2018 11:40:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078563
PE
4211
FACILITY_NAME
ARTURO LEYVA
STREET_NUMBER
4223
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00539044
ENTERED_DATE
3/1/2018
SITE_LOCATION
4223 E COLLIER RD
RECEIVED_DATE
12/28/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SAN JOAQUIN <br />----COUNTY-- <br />Greatness grow-, hero. <br />Environmental Health Department <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Facility Address: <br />ZL - <br />Cd�Lit� <br />Page: _ of <br />Date: <br />Program: y,bco <br />r%J / <br />ioiC s; ` � S >4 t <br />! � 3� C <br />/ �40_ svf <br />N .hs <br />/m <br />A4 <br />2 <br />aq!A � r - <br />, � /�QrO� • � <br />I/�GS �'��� "SNC �fk1' OK- � e �� <br />1 /20Ve%n' <br />r t u. <br />" <br />' <br />l drayi\ <br />rccLs jplc-L�a <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL <br />BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT <br />TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Title: <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />EHD 23-02-003 Rev 10/26/17 CONTINUATION FORM <br />
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