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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3011
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2900 - Site Mitigation Program
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PR0530063
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 3:55:34 PM
Creation date
2/6/2019 3:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0530063
PE
2957
FACILITY_ID
FA0019769
FACILITY_NAME
FORMER SHELL GAS STATION
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
01
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CAMBRIA CHECK REQUEST FORM <br /> Requested by: J. N Date: W Sr a- Approved By*: <br /> Reason Check Needed: i-Al 1. P.{Nl/1 <br /> (Descripti ) <br /> Invoice/Receipt attached? (Yes&) <br /> Profit Center c50✓la44q <br /> Project Name: So 1� W • �e. Ct)yjVl�Jfl <br /> Project #: Task <br /> Accounting Code: <br /> (For Accounting Dept. Use Only) <br /> Payable to: sG�V�q�)0Q GUT COGibIFt/ Fi�1�1121�1 /{lR1ii1�1� ` / <br /> Amount: $ T ! .00 <br /> Date Required: 1 "02- �� v <br /> Deliver Check to: <br /> 1) Requestor's mailbox <br /> 2) _ Requestor's desk or person <br /> 3) —Mail to check addressee or address listed here: <br /> Address: <br /> *Approval Requirements <br /> Billable Expenses: .< $500 No approval Necessary <br /> >=$500 Requires Supervisor Approval <br /> Non-Billable Expenses: All Require Office Manager's Approval <br /> Payroll-related Expenses: All Require Operations Manager Approval <br /> F,VJ)M+MCC:TWGWORMStCII< M..WPb <br />
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