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FIELD DOCUMENTS FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2103
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3500 - Local Oversight Program
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PR0544591
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FIELD DOCUMENTS FILE 2
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Last modified
6/21/2019 7:17:09 PM
Creation date
6/21/2019 11:36:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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585312 <br /> ST C O Tl Tac I 33-0385098 7� �� / 11 Q CHECK Dare <br /> LH 1L./` Po Box 230 IPI' ` April 9, 2004 <br /> Redmond,WA 98073 <br /> International Incorporated 425.372.1600 Z tlx: <br /> 300 Capitol Mall,Suite 1550 <br /> Saaamemo,CA 05814 - <br /> PAY Sixty and 00/100 Dollars 88-706813149 <br /> AMOUNT $60.00 <br /> TO San Joaquin County Environmental <br /> Health Department <br /> 304 E. Webber Ave, Third Floor <br /> Stockton CA 95202 <br /> 11 °�"�'^• <br /> 0 A(n TfORIIW SIGNATURE <br /> oti.,,a <br /> ( (� lQ <br />
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