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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1399
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3500 - Local Oversight Program
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PR0543988
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Last modified
12/28/2018 10:43:17 AM
Creation date
12/28/2018 10:40:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0543988
PE
3500
FACILITY_ID
FA0000914
FACILITY_NAME
TIGER EXPRESS STORES
STREET_NUMBER
1399
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1399 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
TMorelli
Tags
EHD - Public
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` <br /> OF TRf1STE99 111 LOW& <br /> City of Lodi <br /> JMmm Culbertson. Pres. San Joaquin County <br /> Patricle E.Vann,8so'►• 1801 East Hazelton Avenue, P.O. Box 2009 City of fesceion <br /> Aneior"MVAn SPmrmn Stockton, Califomla9S201 City ofMante" <br /> Earl Plrnsntel City of Ripon <br /> Fern Btgbee 209/466.8781 City of Stockton <br /> Daniel L. Fiares City of Tracy <br /> John D. Mot, M.D. Jopi Khanna, M.D.. M.P.H., District Health offing San Joaquin County <br /> Wulhm J.Wade San Joaquin County <br /> Mary Anne Looe <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND { <br /> SITE ASSESSMENT INFORMATION <br /> k <br /> I, the undersigned owner and/or operator of the property and/or facility_ <br /> located at 1399 E: YSMemite <br /> hereby authori ze ETS Environmanta340 <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 /> errY re <br /> Owner/Operator:. OA4 -- Ti tl e: <br /> Address P.O Box 67 Hants 5 <br /> Phone: (2Q911835-275030L <br /> i <br /> Date: 7-22-88 <br /> EH 08 05 <br />
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