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REMOVAL_1993
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MYRTLE
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2300 - Underground Storage Tank Program
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PR0231192
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REMOVAL_1993
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Last modified
1/2/2024 4:25:26 PM
Creation date
11/7/2018 8:55:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1993
RECORD_ID
PR0231192
PE
2381
FACILITY_ID
FA0003864
FACILITY_NAME
GOLDEN BAY FENCE PLUS IRONWORKS
STREET_NUMBER
3023
Direction
E
STREET_NAME
MYRTLE
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15702006
CURRENT_STATUS
02
SITE_LOCATION
3023 E MYRTLE ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\IAError\M\MYRTLE\3023\PR0231192\REMOVAL 1993 .PDF
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EHD - Public
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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (7.09) 468-3420 <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> ' GEOTECHNICAL DATA <br /> • ENVIRONMENTAUSITE ASSESSMENT INFORMATION <br /> I, THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATEDAT 2.3 F . m V g,n_Ir <br /> ( eet Address) (C4) <br /> HEREBY AUTHORIZE V V1 Er- 'P- N <br /> (L.aboratay or a ssultant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: �t�r�"L I �c / A C:/"-J�, T-, <br /> (If Applicable) -- - ---- -- _- <br /> O WNER/OPERATOR: 6FL%e,G Win•__ ,�'�t= { Tc�l�i _ � -._. <br /> (Please Print) (Title) <br /> (a,,-Z4 <br /> tl, �K= <br /> ( /Ope for Signature) <br /> ADDRESS: rZ ' e'f <br /> (Mailing Address <br /> (City) (State) (Zip Code) <br /> PHONE: Z <br /> DATE: C�Z- <br /> EH 23 041 (Revised 7-10-92) Page 9 <br />
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