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REMOVAL_1987
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0502063
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REMOVAL_1987
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Entry Properties
Last modified
8/9/2019 3:32:39 PM
Creation date
11/2/2018 7:53:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1987
RECORD_ID
PR0502063
PE
2381
FACILITY_ID
FA0005313
FACILITY_NAME
LODI USD-HOUSTON SCHOOL
STREET_NUMBER
4600
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01731001
CURRENT_STATUS
02
SITE_LOCATION
4600 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\ACAMPO\4600\PR0502063\REMOVAL.PDF
QuestysFileName
REMOVAL
QuestysRecordDate
11/23/2011 8:00:00 AM
QuestysRecordID
98705
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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sus.kU Of I14USItIS SAt,' )AOUIN LOCAL lit AI_ lIi [)151 ;T sLsa vlHo <br /> la nea Culuerllon. Pie,. r� City,Patricia E Vannuccl. InCy Sen )oa uln olof lL odl County <br /> Anlnonelle Van Spronsen 1601 Last Hazellon Avenuo, P. O. Box 2(X)9 v y <br /> City of Eecalon <br /> Earl Plmentel Stockton, California 95201 City of Manleca <br /> Fare Bupoee <br /> Daniel L. Flores 209/466-6781 - City of Ripon <br /> John D. Mast. M.D. City of Stockton <br /> City of Tracy <br /> William J. Weds Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love Sen Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I, the undersigned owner and/or operator of the property and/or facility <br /> located at HOUSTON SCHOOL_ 4600E Acampo Road Acamoo CA <br /> hereby authorize California Water Labs <br /> to release any and all analytical results, geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. , <br /> Owned/Operator: Lodi Unified School .District Title: Facility Planner <br /> Address 815 W. Lockeford Street Phone: 369-5511 <br /> Lodi , CA 95241 <br /> Date: -/y - sz <br /> Mary a Faci ty Planner and <br /> Authorized A ent <br /> EH 08 05 UGT 13 a <br />
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