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ARCHIVED REPORTS_XR0009071
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WASHINGTON
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2825
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3500 - Local Oversight Program
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PR0545822
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ARCHIVED REPORTS_XR0009071
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Entry Properties
Last modified
7/15/2020 2:59:09 PM
Creation date
7/15/2020 1:29:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009071
RECORD_ID
PR0545822
PE
3528
FACILITY_ID
FA0005566
FACILITY_NAME
RIVERSIDE CEMENT COMPANY
STREET_NUMBER
2825
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
2825 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 468-3420 <br /> AU'11-101UZAT10N TO RELEASE <br /> I <br /> I • ANALYTICAL RESULTS <br /> • OEOTECHNICAL DATA <br /> I • ENVIRONMENTAUSIIE ASSESSMENT INFORMATION <br /> I, T11E UNDERSIONED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCA3ED AT 2825 W Washington Street, Stockton, CA <br /> I (Street Address)) (City)HEREBY AU11IORIZI✓ <br /> (Laboratory or Consultant) <br /> 30 RELEASE ANY AND ALL ANALY'T'ICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> TIE <br /> AL`I 11 SERVICES AS SOON AS I r IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> I10 ME OR MY REPRESENTATIVE <br /> BUSINESS NAME' ZIVe"-s r ci e <br /> (if Applicable) <br /> OWNER/OPERATOR- <br /> (Please Pant) (Title) <br /> Af,6z <br /> I (Signature) <br /> ADDRESS' P , z Sg <br /> (Alarling Address) <br /> CY0 6- ,,,5 < 'A �Z3- g <br /> {Crry) (State) (zip rode) <br /> IPITONS ��5 'Z`f S— S`3 Z <br /> I <br /> DAI E, _ PAGE 9 <br /> I <br />
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