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SU0006822 SSCRPT
EnvironmentalHealth
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SU0006822 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:32:44 AM
Creation date
9/5/2019 11:02:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006822
PE
2622
FACILITY_NAME
PA-0700506
STREET_NUMBER
18406
Direction
S
STREET_NAME
HAZELHURST
STREET_TYPE
RD
City
ESCALON
APN
24508007
ENTERED_DATE
11/7/2007 12:00:00 AM
SITE_LOCATION
18406 S HAZELHURST RD
RECEIVED_DATE
11/6/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAZELHURST\18406\PA-0700506\SU0006822\SSC RPT.PDF
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EHD - Public
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N, ('A 952'.1 <br /> 4 <br /> L RDS rRI C UID NIA-111:1, Aki-42 F <br /> L DE EALTMA FARAISLNIC, A D P P e s.i F,•i K N imil w e r: 39-07- WI 3ut 8 <br /> 6. <br /> Llkcav,� Date: ID- V. <br /> L DOM-RUJiMIC, D)Y <br /> f'Ai,,V.A HaIII,Ph-0-lid: (20)�U, -4207 <br /> 18666 F HVJY '120 Shop Phone: (209)83i-7034 <br /> L RIPWN (A 9566- Mobflc PhOMI: (209WI-MR <br /> Fax: (2091838-8011 <br /> Lpernatte-, T`pe: Prnqita Arnpii,-aior IN Oly Mofhod of SubmiNUOR; <br /> Penuit Type: )earona] Phone: X Fax: X Box: X <br /> PosFiesTiolx F-ossesision & U;Iw ill Pei Son. X Modern: X 'Web: <br /> bw <br /> NO'l requiTe'd M hours p6or to aDplimion. <br /> L <br /> str CM of perwit for <br /> i un(ter.Land What this ptmit dries not relieve me ii-Qmliabliability for my damage,LO my p�rws cc prMerty-ALWCQ <br /> b, the i--,ge of these Pet;ci 4 er, I waive wy cl ii n- of I iab i 1;tT for dqmag,--ap I i I st th. —C:...itty D T—wtrnent of <br /> -1WI cl,I tu-e bated on,the I ssu an,x, o"this pem-ij L I f: wr urid er st F-,id tl I at t hi r p�rmi I'.I-,,w b c r cv ok cd w 1h ox i <br /> nest <br /> joi _am --v-IF,l7j�atiorl pplicah -a onq ani' <br /> used <br /> In Crrtj�ict with the rnauufacturer's 'Ir nofap I <br /> 4u&.-x-Lze insi, zticciat all <br /> by thcrg <br /> r D '.mcnt of Fe,,ti'Idle Re4�dltlrin or the County Department of Apicuillure of all are,,-treated tribe <br /> L wixtea. st Orage taciiiti F torI cl�oar erapt1' ' I j <br /> �,q cLrtajncr�a arid�uipmcnt used ci-w be used in the tnMtment. <br /> 1 have i�rmdm-el alternatives md mitigatier mcasure-g p-Tsuant to Title 3,Cal,if f PI tions,section 642h. <br /> L <br /> Tat ung into account cr=omic, w. <br /> sociai, d tlckincl-,,O�: ?TMI <br /> ica�ifzqaors, ,,1 �w lat artYleasible <br /> and would Tjbvtq-tMatly any signif,cnnt adv erst impact a-L the enrli-orX.,im't <br /> r, <br /> om,PR-ENF-1 25 N-ti--tde Bi�%-Ich I <br /> Pzrmit <br /> c- <br /> • lssuc Datc.- <br /> M F— ---—----- <br /> 7 <br /> L faelise Rum <br /> 112-ILI <br /> L <br /> I <br /> L <br /> L <br />
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