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ARCHIVED REPORTS XR0001056
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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ARCHIVED REPORTS XR0001056
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Entry Properties
Last modified
3/4/2019 9:16:49 PM
Creation date
3/4/2019 2:54:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001056
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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r <br /> ELAINE 1e801Ir i3AVk=.rue EL� E� -46PEC'T'ION CITECRI �T <br /> SAM-10S_,CALIFORNIA 95112 <br /> ✓ <br /> Ter-H s �V1f ss (408)8i3-Ti 1 RAXCtient , <br /> ✓ <br /> (4081 5?3 =-05� PHONE <br /> , <br /> site Address W. _ Jrl <br /> Technician <br /> Date o r <br /> 1. Ud an box 7 S. casing secure% 12 N1a4=r s�rraina in :re:7bax r" r <br /> - i...'Neil cmo tunc:1anai7 <br /> Z. Lid broken? 7. Casing=level? 1 _Si oina wave she=�Q_ar,�s na% 16�Gan o be=pu�7e?i`t — -= <br /> OaSe� <br /> 3. Lid boils missing? S. Oe_ns.n weilf ox 7 1 Zh. sending beia•+v rhe Ve of amino- 1;.Can sem our w- <br /> 1_ Lid ba Ls strioped7 9. 'Neilbax is mo far wave 0-=de.; 1Zc. Water e•ren wide the lov of amino% 18. Paolo:oresenr? 4ter <br /> 5. Ld seal inmcC 1a. weilbox is roa tar t�pic-or-.6e 13. 'Me7 C--D presenr 1p. Paolac'c unc�onai7 <br /> 11, `Neilbox is crusned/damaoe;? 14. Weil a-n found s;e.--jre <br /> Check box if no deficiencies were found_ Note be€ow deficiencies you were e e able to correct- <br /> 'Neil 1_1). Deiiciesc•r Carrer:ive Action Taken <br /> I <br /> � I <br /> I f <br /> � I <br /> i I <br /> � t <br /> Nole be!ow ail deiiencies that couid nol be corrected arra still need to be Corre--Ifs. <br /> 11 <br /> 9T5 CttiCa assigns or Dale Dale <br /> 'Ne!E t.D_ Farsistlrlg DeiiC:enC'I deers Corre4-ion lo: assigned corrected <br /> f <br /> i <br /> I � : <br />
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