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UAR/PROP 65
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WALNUT GROVE
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2300 - Underground Storage Tank Program
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PR0232572
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UAR/PROP 65
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Entry Properties
Last modified
7/6/2020 4:43:55 PM
Creation date
11/7/2018 8:21:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
RECORD_ID
PR0232572
PE
2381
FACILITY_ID
FA0003865
FACILITY_NAME
CRAYFISH INTERNATIONAL
STREET_NUMBER
8729
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00120009
CURRENT_STATUS
02
SITE_LOCATION
8729 WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WALNUT GROVE\8729\PR0232572\UAR_PROP 65.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY • <br />NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br />HEALTH & SAFETY CODE 25180.7 <br />A. EMERGENCY LEVEL:(L I III PHS -EH LOG # 93 y 3 <br />(Circle One) <br />B. SOURCE OF INFORMATION <br />Name: �o�? ��� Phone: (E�n) 7 <br />Company: R <br />Address: 7 1 D /ate T G G o 9 <br />Designated Employee Name: Phone: <br />Reporting Agency Nam - <br />Address: le1�5 S 0� io QQ vS ST. Sib�K-ia 9Szv / <br />C. LOCATION AND DATE OF DISCHARGE <br />Location: 5�7 Z9 w . zZ ALAS u� <br />(Best Physical Description) (City or,ounty Circle One <br />Date of Discharge: z2 -v <br />Date Notified: Time: <br />0 <br />E. <br />F <br />RESPONSIBLE pRRC()N/RtiCTNFCC <br />Name of Busines <br />Contact Person: <br />Physical Address <br />Mailing Address; <br />nFcra )TTrW <br />EH 22 013 (Rev.4/91) <br />
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