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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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5491
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3500 - Local Oversight Program
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PR0545028
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
12/6/2019 2:59:14 PM
Creation date
12/6/2019 2:48:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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-18-1998 1 -3©Phl E POH%w,,,J ANCED GEGEN V I RONt•I 209 467 1 1 1 f <br /> r� <br /> SAN JOAQUIN COUNTY <br /> pLTDIAC H A ITH SERVICES <br /> DIYLSION _ y8 <br /> ENVXEtOrENT g / <br /> p>UHI,IC RECORDS RELFASE APPLICATION <br /> APPLICANT' V 1i7�3�A1vin�1 ONE NC'`_�7�ldd,L <br /> ADDRBSS AU. WIL.A_ PHONE NO <br /> AGFNCY NAME <br /> ADDRESS <br /> E ADDRESS <br /> I �q ) PAID <br /> (ji `r7'1? 5. I¢ <br /> 1 aDd TTI <br /> CA <br /> - --- N 1-,IE PUBUC HEAL-114 <br /> 17t1S NU"[tCE 1S SUUJEc ' TO 'till: RL"QUIRLNiI.N I s i VL�Y IlFI1 D OR DtNAZ7CF CODE OF SAN <br /> SE:RVICES/Gt4vIRONNigNTAl.I-IEALTIi DIVIS(ON(F1ID) POLICY bg2-007, <br /> JOAQUIN COUNTY, u{D FEES ANiAEM RVI CODS.I.iARGE RESOLUTIONS, STATE WATER CODE. <br /> GovERNNIENT CODE AND THE <br /> 1. A MAXINtUM OF TEN (IO)PREN�ISI3 Alll)RESSFS PF_R REQUEST• <br /> Z PitA1JC FILE=StRE'sCGRI7S RFVIrW ARE AY AE_EoIIITNSTt�iT ONI_):- AI'POt1JIhiENTS ARE <br /> POINTmENTS ARE SC <br /> ARRANGED BY CALLING (209)468-0 40�I0IUAXS.8 W A M OTO lP 00 NOON AND I.00 P.M.TO 4:30 <br /> N40NDAY"FHRU FRIDAY EXC:LU <br /> a <br /> P.M. <br /> 3. A PUBUC RECORDS RELEASO AINP NFD TCU 'I E Al'Pl1CANT IF 1{Ir IEl�Rj:CGRDS ARE <br /> IS ReQUIRED. DEPOSITS WILL Bl R)aIUR ' <br /> NOT AVAILhBLB WITHIN T1118 CUSTODY OF THIS FIID• ; <br /> SIT IS APPLIED TOWARDS THE TOTAL FIL.F_ REVIEW FEE <br /> q. T14E ABOVE IDENTIFIED <br /> ED DEF CHARGES ARE DUE AND PAYABLE Y OR-To R'EV SWING THE <br /> CHARGE. THE BALANCE1 <br /> DOCUMENT(S). <br /> 5. PUBUC FILES/RrCORDSNOT RETURNED iN TiiE SANtf CONDITZQN AS RECEIVED <br /> ADDITIONAL j <br /> CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPUCAN'i`• , <br /> SFRVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILFSiR.ECORDS SHALL NOT BE REIviOVED IROb! THE 1=HD PREMISES. # <br /> DATE i <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> SIG NATUREOFRELEASING OF - <br /> Eli 00 14 (REV 12/92) <br /> i <br /> k <br />
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