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EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545708
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/3/2020 11:09:52 AM
Creation date
6/3/2020 11:06:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545708
PE
3528
FACILITY_ID
FA0005432
FACILITY_NAME
LODI CONCRETE PIPE SERVICE
STREET_NUMBER
381
Direction
W
STREET_NAME
TADDEI
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
02
SITE_LOCATION
381 W TADDEI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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J <br /> DECLARATION OF CUSTODIAN OF RECORDS <br /> AND <br /> NOTICE TO THE PARTY BEING SUBPOENAED <br /> TO AVOID HAVING TO I4AKE A PERSONAL APPEARANCE AT THIS DEPOSITION , YOU MAY <br /> EITHER NAIL THE ORIGINAL RECORDS OR "LEGIBLE COPIES" TO ATTORNEY ' S <br /> DIVERSIFIED SERVICES , P 0 BOX 1059 , STOCKTON , CA 95201 PRIOR TO THE DATE <br /> ON THE SUBPOENA OR YOU MAY ALLOW ATTORNEY ' S DIVERSIFIED SERVICES OR THEIR <br /> DESIGNATED AGENT TO PHOTOCOPY RECORDS IN YOUR OFFICE . <br /> ! ! * * ! # # # * * * * * ! ! * * * * * ! * # * * * * * * * ! ! ! # # * * * * <br /> IN BOTH CASES , YOU MUST SIGN AND DATE THIS DECLARATION . <br /> PLEASE NOTE : A PERSONAL APPEARANCE WILL BE NECESSARY , IF YOU DO NOT COMPLY <br /> WITH THE ABOVE . <br /> ( I HEREBY DECLARE UNDER PENALTY OF PERJURY THAT THE FOLLOWING STATEMENTS <br /> ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF : <br /> I AM THE DULY AUTHORIZED CUSTODIAN OF RECORDS OF THE BELOW NAMED AND CERTIFY <br /> THAT THE ACCOMPANYING RECORDS ARE THE ORIGINAL AND COMPLETE RECORDS MAII1— <br /> TAINED IN THE REGULAR COURSE AND SCOPE OF BUSINESS OF MY EMPLOYER AND <br /> CONSTITUTE ALL THE RECORDS REQUESTED IN THE SUBPOENA DUCES TECUM . FURTHER <br /> I CERTIFY THAT THE INFORMATION CONTAINED IN SAID RECORDS WAS ENTERED BY A <br /> PERSON ( S ) HAVING ACTUAL KNOWLEDGE THEREOF AT THE TIME OR SOON AFTER THE <br /> OCCURRENCE OF THE EVENTS OR INCIDENTS WHICH THEY INTEND TO CONVEY . <br /> OR, IN THE ALTERNATIVE : <br /> ( ) I DECLARE UNDER PENALTY OF PERJURY THAT I HAVE NO RECORDS ON THE <br /> PATIENT / EliPLOYEE / SUBJECT IN QUESTION . ( BRIEFLY EXPLAIN BELOW IF YOU <br /> ARE UNABLE TO LOCATE RECORDS , HAVE NEVER SEEN THIS PATIENT , ETC . . ) <br /> RECORDS SUBPOENAED FROMs SAN JOAQUI14 CO ENVIROMENTAL HEALTH SERVICES <br /> EXECUTED AT : , CALIFORNIA ,. ON 1993 . <br /> TITLE OF CASE : CONWAY , RON , ET AL . <br /> VS LORI , HARRY , ET AL . <br /> SIGNATURE OF DECLARANT <br /> RECORDS SUBPOENAED BYi DIEHL STEINHEIMER RIGGIO <br /> RECORDS PERTAINING T0s 381 W . T M D ACA14P0 <br /> PRINT DECLARANT ' S 13A1dE <br /> morneY's DiversiFleD services a sinned <br /> P.O. Box 1059 • Stockton, California 95201 • Phone (209) ad-,' IJ t -�1 "� ' . ?IE: "C not <br /> You ave I Eu.,w. I hanks! <br /> 9[oy <br />
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