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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0538885
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Last modified
5/18/2020 9:53:56 AM
Creation date
5/18/2020 9:51:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0538885
PE
2965
FACILITY_ID
FA0022341
FACILITY_NAME
STORMWATER BASIN
STREET_NUMBER
701
STREET_NAME
SPARTAN
STREET_TYPE
WAY
City
LATHROP
Zip
95330
APN
19121029
CURRENT_STATUS
01
SITE_LOCATION
701 SPARTAN WAY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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LSauers
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EHD - Public
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ENGED Incorporated <br /> Expense Authorization Form <br /> Today's Date: r — �- �� Due Date: I-eJ -f q <br /> Is this a *Check Request? Direct Deposit ❑ Charge Request? ❑ <br /> (Please Note: To process, supporting documentation must be attached.) <br /> Total Amount of Expense: <br /> O. a)l (01 �<, n <br /> Reimbursable to Project No.: 57k/ 7, 3L � � Group No.: Q <br /> Make Check Payable to: 5O, `�o o 9 u a-/) (,CIL-'n�' �/ny►n'i A e(JZ y <br /> (nemu 7 qo 1&r;ni aerni - F" br MV'-s- <br /> J <br /> /►�� M�, Contact Name: <br /> ��Qectr� I� Telephone Number: <br /> Purpose of Expense Request: b�i n �z°rM, tdr AAA,- <br /> Expense Requested by: <br /> Expense Approved by: <br /> (Group Leader) <br /> Is this for technical training? Yes ❑ No [Z Technical training"noonie" date: <br /> (Please schedule"noonie"with Macy Tong prior to final approval) <br /> Mail check directly to the vendor? Yes ❑ No Return check to you? Yes M\ No ❑ <br /> Include Attached Yes 0 No ❑ (Provide copies of attachments) <br /> Asset Tag No. <br /> For Accounting Department Use Only <br /> Account Number: <br /> Voucher Number: <br /> ExpcnseAuthorizalonrorm 102908 <br /> Revised: 01/07/14 <br />
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