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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0521933
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
1/29/2020 5:38:14 PM
Creation date
1/29/2020 4:26:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0521933
PE
2950
FACILITY_ID
FA0014912
FACILITY_NAME
COSTCO WHOLESALE
STREET_NUMBER
1616
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
1616 E HAMMER LN
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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op4UrN <br /> San Joaquin County <br /> y a <br /> Environmental • <br /> artment <br /> </FORS <br /> 3 E Weber Avenue FAX #: <br /> 3rd Id Floor, Stockton, CA 95202 O (209) 464-0138 <br /> Phone: (209) 468-3420 <br /> O (209) 468-8392 <br /> (209) 468-3433 <br /> Date: U Time: Z 3 <br /> # of Pages (including this sheet): <br /> To: FAX( TD� S6$ 7675 <br /> Of: U,(I <br /> From: �cw � Q� ��tSg1�{b& 3yyY <br /> Voice Phone # <br /> Re: <br /> O Urgent eFor Review O Please Reply Cl Please Recycle <br /> Comments: <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is le all <br /> listed on his cover shd eeth t. If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> 9 Y privileged and confidential information intended only for the use o!he addressee <br /> fy <br /> Med <br /> f <br /> me0 ately notify useby ttelephone at he number listedfon hisceoove 9shet t1 andr.t_thetongi arl messagel to us at the above adress via United StatesePostal <br /> Service. We will reimburse Your costs in notifying us and returning the message to us. Thank Y . <br /> EHD 4601-012 <br /> REVISED 614-02 _ FAX COVER SHEET <br />
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