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ARCHIVED REPORTS_XR0012736
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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J
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JAHANT
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17300
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3500 - Local Oversight Program
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PR0545318
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ARCHIVED REPORTS_XR0012736
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Entry Properties
Last modified
2/11/2020 1:09:05 PM
Creation date
2/11/2020 10:36:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012736
RECORD_ID
PR0545318
PE
3528
FACILITY_ID
FA0004984
FACILITY_NAME
CLEMENTS ROCK PLANT
STREET_NUMBER
17300
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02113005
CURRENT_STATUS
02
SITE_LOCATION
17300 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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a <br /> BOARD of 1AUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVI dO <br /> Jamea cult,anson. Pres• City of Lodi <br /> lficia E. Vannucti, Sec'y San Joaquin County <br /> 6 1601 East Hazellon Avenue, P. O. Box 2009 city 01 Escaton <br /> lhonaiia Van Spicnsan <br /> Eari ptmanial Siocklon, Cailtcfnia 95201 City of Manteca <br /> Fern BugtGau 209/466-6781 City <br /> St Atpon <br /> Danl..f L. F101e9 ty ockton <br /> John 1]. Mast, M.O. Cit Stty oI Tracy <br /> Wlllf�jm J.wade Jopl Khanna, M.D., M.P.H.,Ofatfict Health Officer San Joaquin County <br /> Mary Anna Lore San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I, the undersigned owner and/or operator of the property and/or facility <br /> located at bb <br /> hereby authorize 16; <br /> to release any and all analytical results, geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. ,{ <br /> Owner/Operator: Title: U `'yam <br /> Address Phone: <br /> I.o 5 <br /> Date: \`7-\Ck- <br /> Ffl nn nS IIGT 3 <br />
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