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FIELD DOCUMENTS FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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FIELD DOCUMENTS FILE 1
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Last modified
2/15/2019 2:07:53 PM
Creation date
2/15/2019 1:26:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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Tags
EHD - Public
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MC�,AFiiNG WEII.'_^.�:STALiATiON REPORT <br /> CONSTRUCTION <br /> Date: <br /> Premise Ad8zt5.v. EALL �G � Toa1 Depth a <br /> A+);, Screen Length (Flom) (Co) <br /> FEL=dl No_ 5�g f Bent Parc C'nm) <br /> WCco) <br /> m Cyon) <br /> Groat 3 Cto) E <br /> Inspector. <br /> Groat Cyom) 2 (m) <br /> Drain-rig type -7 <br /> permit e � ODy�f(pfJ 63�L ��f�Z Auge: <br /> PZ- A, <br /> Lam. <br /> ComOletioa- Stove Pipe/ctuiztie box (c..Cle one) <br /> Dulling co=p=y: <br /> Consulur-t <br /> Gtolagis /Rte- 13 vS CLtlrJ crRS 3^X <br /> C�l.P'_i.CN CCN <br /> mo=d S1 � . <br /> SPECAL PERMT A3f0. %/a Y//� prw <br /> Distance to sewer int T 2- <br /> Domestic <br /> Domestic weL on site - Cyt �— 3 <br /> if yes, loczda oand distance - `L _�_ - — J <br /> 1 - <br /> SAIvTLING <br /> _ I c <br /> c <br /> Holding Temp - _ <br /> Method /�Y — <br /> Screening Method O U n <br /> Tacking Sheet - y a) Zq 7 —` r <br /> saoRs I�/' - <br /> Swage <br /> Me:hod �1l f- "Wj-I-C to MATSUAIS/DEVnOPIENC <br /> Con-a- inarioa Noted - C y/ a) Z" PM <br /> P {- <br /> Storage Lomrioa Blyk' 4' ¢ Sceea Zp' _ <br /> Slot <br /> GROLTING lags cem��. <br /> Bucice: bentonite <br /> Bags =d/-,avcJ <br /> De?� m water = z - <br /> ML: Ratios Com -p a9zK — SurgFiltePact typesize <br /> Insullacon Method Surge BlocJc - (Y nz <br /> Quzatity Installed Discussed with ge ogut - C Y.G <br /> Type of m shod <br />
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