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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0505378
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/18/2019 11:17:21 AM
Creation date
6/18/2019 10:32:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505378
PE
2960
FACILITY_ID
FA0006743
FACILITY_NAME
HOLT LEAK SITE
STREET_NUMBER
0
STREET_NAME
COOK
STREET_TYPE
RD
City
HOLT
Zip
95234
CURRENT_STATUS
01
SITE_LOCATION
COOK RD
P_LOCATION
99
QC Status
Approved
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EHD - Public
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s <br /> FROM LF ROSEUILLE <br /> SA?i .10A0UIN COIAiTY PUBLIC NZALTN S£SiY7tEs _ • l fV t�. <br /> USTERFILE RFCORD E'vy1RQ1ft TAt MEALTH DIVISION <br /> IAFORI{ATION FOW <br /> NEW FACILITY <br /> CHANGI: OF OWNER EM O1 13 (yNFAC) ACvis 8/26/93 <br /> UNDER <br /> DATE OF WR CBAIt( <br /> C'OHSTRUCTIpw Prior Or+rter r <br /> ""GE OF 81tLING INACTIVE <br /> BATE OF BILLING CXAAGE <br /> DELETE <br /> OWNER <br /> OWNER ID OWNER FILE <br /> GSE S <br /> BILLING PARTY <br /> r., Y A <br /> OWNER UK <br /> OWER DBA OI+>fER Im P19mE { ) <br /> OWER YRlClBUS <br /> orN ( ) _ <br /> ER ADDRESS PH <br /> III <br /> OMER CITY _ <br /> STATE ZIP <br /> MAULING-ADDRESS <br /> CARE OF <br /> CITY <br /> STATE ZIP _ <br /> BUSINESS CODE NATURE OF OVNER BLSINESS p ' <br /> FACILITY FILE- <br /> FAC I L4 TY 10 <br /> BILLING PARTY T / R <br /> 0 OF awtoms <br /> FACILITY NAME 7,Aw'. ' "x ��/1�� fN�)n/t�2� C j V' 'TRUST Ll YY / 1� <br /> FACILITY A00RE58 NOME PH <br /> BASK PH c ��3 ) r•� b -7 3 <br /> CIT" {)�� RATE t ZIP <br /> ?ist .Lnc,ticry c=s Cit;. Code ------ <br /> AAILINC s0J;XSS APN 0 <br /> �:tRE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE KmlxESt CME BUSINESS TYPE (UST) <br /> TMIRD- PARTY 0ZLLI_N0 IYFORMATION <br /> R1u, MQNc PIl01fi L ) <br /> rGl �9R£Sg <br />
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