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EHD Program Facility Records by Street Name
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4987
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3500 - Local Oversight Program
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PR0545873
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Entry Properties
Last modified
7/21/2020 4:19:58 PM
Creation date
7/21/2020 4:16:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545873
PE
3528
FACILITY_ID
FA0003969
FACILITY_NAME
PEP BOYS #711
STREET_NUMBER
4987
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10416027
CURRENT_STATUS
02
SITE_LOCATION
4987 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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l%%No, <br /> r <br /> CONTINGENCIES <br /> Emergency Contacts and Phone Numbers <br /> Agency EE <br /> Contact Phone Number <br /> Local Medical Emergency Facility / <br /> WESTON Medical Emergency Contact EMR-Dr. Barnes <br /> .. WESTON Health and Safety 00- <br /> Department 030Geor a Crawford 1-8229.3674 <br /> g (610)701-7406 or(610)692-3�Fre olice Department <br /> Onsite Coordinator <br /> Site Telephone <br /> Nearest Telephone <br /> Ge S et &n Ye- <br /> tat: <br /> Local h Medical Emergency Facility(s) <br /> � <br /> Name of Hospi <br /> .ol � Ge <br /> Address: e �O �ctlr. O ^n <br /> Fenontact: <br /> '�f P_ Phone No <br /> rvice: Route to Hospital(written detail): Phone No.: <br /> Travel time hom site: <br /> �'�Vit' i.LE�S-)- L.C.�t n E' Sr+��'T'Lt to J 5yn�`nl trauma only /��ir C�i vt ��r_, r rr 1, �,l -'t'tj'� i:,(Ior,(% Distance to hospital: <br /> /YI 1fl exposure only ��xName/No.of 24-hr <br /> trauma and 1 �'l r ;Z ),)G�r._�S ' Ambulance Service: <br /> l exposure .� G S p t `24 hours <br /> Secondary or Specialty Service Provider <br /> 11 6Conta <br /> f Hospital: <br /> : <br /> Phone No.: <br /> Contact: <br /> Service: Phone No.: <br /> Route to Hospital(written detail): <br /> Travel time from site: <br /> cal trauma only Distance to hospital: <br /> ical exposure only <br /> al trauma and Name/No.of 24-hr <br /> cal exposure Ambulance Service: <br /> le 24 hours <br /> Figure 1. Route to Hospital <br /> (Draw map to hospital here if space permits or attach on next sheet.) <br /> J � � <br /> S-' Tks:epI,,41 <br /> s c <br /> -� <br /> nJ � <br /> 1. CCC�!{�^ If 14 <br /> a� <br /> r <br /> ..r <br /> 3L <br />
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