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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544508
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/31/2019 2:12:41 PM
Creation date
5/31/2019 1:58:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544508
PE
3528
FACILITY_ID
FA0004718
FACILITY_NAME
CAINS ELECTRIC WORKS
STREET_NUMBER
230
Direction
N
STREET_NAME
CHURCH
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
230 N CHURCH ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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N Ag I <br /> I <br /> I ` <br /> I <br /> UST CLAIM APPLICATION <br /> INSTRUCTIONS FOR PACE THIRTEEN <br /> XIV. VERIFICATION <br /> f <br /> All claimants, including all joint claimants, must sign and date this Claim Application in this section. Make <br /> additional copies of this page as required to cover all signatures. I <br /> If the claimant has authorized a representative to sign on their behalf, submit documentation indicating the <br /> name and telephone number of the authorized person. <br /> All signatures must .be original; no reproduced or copied signatures ;i ill be accepted. <br /> iE <br /> i4 <br /> E I <br /> 1 <br /> t <br /> 1 <br /> i <br /> ( <br /> i. <br /> I <br /> 1 <br /> j1 <br /> i <br /> i <br /> _ l <br />
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