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EHD Program Facility Records by Street Name
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GRANT LINE
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3776
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3500 - Local Oversight Program
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PR0545211
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Entry Properties
Last modified
1/24/2020 4:51:47 PM
Creation date
1/24/2020 4:45:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545211
PE
3528
FACILITY_ID
FA0005216
FACILITY_NAME
ALEXANDER GILLILAND
STREET_NUMBER
3776
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23907002
CURRENT_STATUS
02
SITE_LOCATION
3776 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> S7. <br /> ATC SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: Riccelli Property <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree <br /> to notify the responsible employee of ATC should any unsafe acts be witnessed by me while I <br /> am on this site. <br /> ;� PRIN 'NAME m ., ift <br /> SIGNATURE ==' D <br /> A'TE <br /> _..:. a ... _ � � . . <br /> Safety Plan approved by: <br /> k <br /> Drew Van Allen,Project Manager John Sellman, Site Safety Officer <br /> r <br />`� PAGE 19 <br />
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