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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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920
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2900 - Site Mitigation Program
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PR0505320
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COMPLIANCE INFO
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Last modified
5/20/2020 11:13:10 AM
Creation date
5/20/2020 10:50:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505320
PE
2950
FACILITY_ID
FA0006707
FACILITY_NAME
ARYZTA LLC
STREET_NUMBER
920
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
14327073
CURRENT_STATUS
02
SITE_LOCATION
920 N SHAW RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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07-22-1994 01:29PM FROM <br /> SITE MITIGATION PROGRAM <br /> $ILLING AETTim OF ACXNOWLEDGM4MT2 <br /> TO: SAN JOAQUINCOUNTY PU$LYC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION (PHS-EHD) <br /> 445 N. SAN JOAQUIN ST. <br /> P. O.. BOX 2009 <br /> STOCKTON, CA 952Oz <br /> FROM: <br /> (property owner name) <br /> (owner mailing address) <br /> (City, state, ZIP) <br /> RE: (site address) <br /> I(We) declare that the assessment activity being performed at the <br /> above referenced site is being conducted with my(our) knowledge and <br /> approval Furthermore, I(we) acknowledge that payment of PHS-EHO <br /> charges will become my(our) responsibility in the event said <br /> charges re not paid by the client and/or oporator identified on <br /> the attached "General Program File.,, <br /> signatu a and title (phone number) <br /> (date) <br /> LC\BILAC .FRM <br /> TOTAL P.01 <br />
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