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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3000 – Underground Injection Control Program
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PR0515035
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2019 3:56:26 PM
Creation date
2/11/2019 3:03:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0515035
PE
3030
FACILITY_ID
FA0012021
FACILITY_NAME
WESTERN SQUARE INDUSTRIES INC
STREET_NUMBER
1621
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
1621 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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304 E. Weber St., Third Floor. <br /> Stockton, CA., 95202 San JoaquinCounty <br /> General Office: (209) 468-3420 Public Health Services, q <br /> Facsimile: 5th Floor - (209) 468-3433 <br /> 3rd Floor - (209) 464-0138Environmental HealthDivision . i <br /> I <br /> Fmi <br /> To: From• <br /> Company: (✓ Phone: <br /> r <br /> Fax: s <br /> Date: . ' <br /> r <br /> CC: <br /> Pages: v <br /> R <br /> ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle <br /> e Comments: <br /> / r 1(iZ f3 <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information <br /> intended only for the use of the addressee listed on this cover sheet if the reader of this message is not the intended <br /> 4 recipient, or the employee or agent responsible to deliver it to the intended recipient,you are hereby notified that any <br /> { dissemination,distribution or copying of this telecopy is strictly prohibited. if you(have received this facsimile in error, <br /> please immediately notify us by telephone at the number listed on this cover sheet and return the original message to us <br /> at the above address via United States Postal Service. We will reimburse'your costs in notifying us and returning the <br /> message to us, Thank You. <br /> E <br /> i <br />
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