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WP0039393
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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STATEN ISLAND
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20250
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039393
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Last modified
5/9/2019 10:27:44 AM
Creation date
5/8/2019 10:42:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039393
PE
4372
STREET_NUMBER
20250
Direction
N
STREET_NAME
STATEN ISLAND
STREET_TYPE
RD
City
THORNTON
Zip
95686-
APN
06902019
ENTERED_DATE
3/4/2019 12:00:00 AM
SITE_LOCATION
20250 N STATEN ISLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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Page 3 <br /> Primary Hultgren-Tillis Contact: <br /> R. Kevin Tillis—Office Phone: 925-685-6300 & Cell Phone: 925-890-7779 <br /> Jerry Hanson—Office Phone: 925-685-6300 & Cell Phone: 925-348-0753 <br /> Emergency Routes: in the event of a general problem for which it is not appropriate to call 911, call H- <br /> TE office at 925-685-6300. Wait there for directions as to when it is safe to go back to work onsite. <br /> Hospital: Adventist Health Lodi Memorial Medical Center, 975 S Fairmont Ave, Lodi, CA 95240, 209- <br /> 334-3411 <br /> Other: NA <br /> Si natures Date <br /> NOTE: A signed copy of this plan must be kept onsite at all times. <br /> File: 90502 HTE Health and Safety Plan-CPTs <br />
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