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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0502593
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
3/31/2022 4:33:02 PM
Creation date
11/5/2018 5:44:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0502593
PE
2381
FACILITY_ID
FA0005504
FACILITY_NAME
CALIFORNIA DAIRY EQUIP CO
STREET_NUMBER
27
Direction
E
STREET_NAME
LOCUST
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
27 E LOCUST ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LOCUST\27\PR0502593\COMPLIANCE INFO 1988-2004.PDF
QuestysFileName
COMPLIANCE INFO 1988-2004
QuestysRecordDate
10/25/2017 3:09:56 PM
QuestysRecordID
3698320
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> At Crow,Pres. San Joaquin County <br /> Earl Pimentel,Vice Pres. 1601 East Hazelton Avenue City of Manteca <br /> Tommy Joyce,Secy. Stockton, California 95205 City of Escalon <br /> James F.Culbertson City of Lodi <br /> John D.Mast,M.D. JOGI KHANNA, M.D., M.P.H., DISTRICT HEALTH OFFICER City of Tracy <br /> Virginia Mathews City of Ripon <br /> Thomas Schubert,D.V.M. ENVIRONMENTAL HEALTH DIVISION San Joaquin County <br /> Daphne Shaw (2o9i) 468-3420 City of Stockton <br /> Harvey Williams,Ph.D. San Joaquin County <br /> AUTHOR I ZAT I ODV TO RELEAS3D= <br /> �e ANALYTICAL RESULTS <br /> -FL- GEOTECHNICAL DATA <br /> M ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AToZ1I 4�,E'T/1 /f�e//i/� <br /> (SYREff ADDRESS) /� � (CIfY) <br /> HEREBY AUTHORIZE_ CA-n(O/�fl� <br /> (LABORATORY or CONSUL100 <br /> TO RELEASE ANY AND ALL ANALYTICAL RESULTS, GEOTECHNICAL DATA AND/OR <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION TO THE SAN JOAQUIN LOCAL HEALTH <br /> DISTRICT AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. / <br /> BUSINESS NAME: e/2L/LC't`/!///� <br /> / (IF APPLICABLE) <br /> OWNER/OPERATOR: <br /> LEASE PR ) //� (i1TLE) <br /> (SI6141URE) <br /> ADDRESS: <br /> (1AILIN6 ADDRESS) �y <br /> (CITY) (SLATE) (IIP) <br /> PHONE: <br /> DATE: <br /> EH 23 041 Revised 1/89 <br /> Administration Clinical Services Environmental Health Public Health Nursing <br /> 468-3400 468.3830 468.3420 468-38W <br /> Air Pollution Community Services Laboratory WIC <br /> 468-3470 468-3820 468-3460 468-3280 <br /> AIDS Information 468-3820 <br />
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