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SR0076378
EnvironmentalHealth
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99 (STATE ROUTE 99)
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12348
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4200/4300 - Liquid Waste/Water Well Permits
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SR0076378
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Last modified
11/19/2024 1:58:32 PM
Creation date
5/20/2020 2:32:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0076378
PE
4201
FACILITY_ID
FA0000332
FACILITY_NAME
VILLA CEREZOS
STREET_NUMBER
12348
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
Zip
95240
APN
06108016
ENTERED_DATE
12/6/2016 12:00:00 AM
SITE_LOCATION
12348 N HWY 99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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State o r 7alifornia 2. <br /> ° <br /> State Water Resources Control Board <br /> 0 <br /> N <br /> 60UFCF3 O <br /> °O N <br /> tiA <br /> r <br /> m <br /> a <br /> Yn ' c O <br /> t <br /> • CSL IFpq N�' 7 <br /> Certificate of Competence <br /> This is to certify that pursuant to the provisions of Chapter 9, Division 7 of the California Water Code <br /> R. S. Potter <br /> has fulfilled the requirements for certification as a <br /> Grade III <br /> Wastewater Treatment Plant Operator <br /> Certificate Number 8280 <br /> N <br /> O <br /> Issued this March 25, 2015 w <br /> • Y <br /> r � <br /> Original Issue Date: 09/21/1995 <br /> Felicia Marcus <br /> Expiration Date: 06/30/2017 Chairman w <br /> This certificate is the property of the State of California and in the event of its suspension,revocation or invalidation for any reason,it must be returned i' t. - 1Vdter <br /> Resources Control Board upon demand. <br /> L <br />
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