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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545028
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
12/6/2019 5:05:08 PM
Creation date
12/6/2019 2:55:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
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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SJGOV\wng
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EHD - Public
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San Joaquin • <br /> •' <br /> - Environmental Health. Depart Q P <br /> a�%FpFt�� <br /> 304 E Weber Avenue FAX #: O (209) 464-0138 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 O (209) 468-8392 <br /> O (209) 468-3433 <br /> Date: Time: <br /> FAX <br /> # of Pages (including this sh6et): <br /> To: i M"*,-, FAX: -- 9�6 a6 / 4) 7 7 <br /> Of: PE x <br /> From: Move-( Voice Phone #: <br /> O Urgent O For Review ,O Please Reply O Please Recycle <br /> I <br /> Comments: - - <br /> �G✓r er#K <br /> I <br /> i <br /> SYS 0D){4S78 <br /> 0o � 5 �v <br /> 0 0 qq. S <Z3_ <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is Ie all <br /> listed on this cover sheet. If the reader of this message is not the intended recap privileged <br /> oe he employee orand nagent tial fresponsible ormation to deliver ended l�4 to the intended recipient <br /> 1 <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. t <br /> EHD 48-01-012 J <br /> REVISED 6-14-02 FAX COVER SHEET <br /> I <br />
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