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ARCHIVED REPORTS_PUMP RPTS 2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COACH
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922
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4200 – Liquid Waste Program
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PR0536489
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ARCHIVED REPORTS_PUMP RPTS 2017
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Entry Properties
Last modified
12/3/2020 4:18:26 PM
Creation date
8/5/2020 10:01:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2017
RECORD_ID
PR0536489
PE
4246
FACILITY_ID
FA0018020
FACILITY_NAME
SEPTIC BROTHERS
STREET_NUMBER
922
STREET_NAME
COACH
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
07224026
CURRENT_STATUS
04
SITE_LOCATION
922 COACH ST
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\C\COACH\922\PR0536489\PUMP RPTS 2017.PDF
Tags
EHD - Public
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SAN JOAQiI N COMM' <br /> fl ENN IROME-NTAL HEALTH DEPARnffi-NT Return this form by <br /> 304 East Weber Avenue,Yd Floor,Stockton,CA 95202-2708 the 120i of each mouth <br /> fl Telephone.(209)458-3420 Fax:(209)464-0138 Web www.sigov.org/chd <br /> -•�I SEPTA E CLEANCR'S PORT <br /> L Company Name: �1 -1'z 4dixw � /> p i! f�� t l � Report for the of: �'�'"� year <br /> Company Address: 'I 7 "Z617 <br /> Z Signature:. '�A ��s + �^ <br /> Surat Address City Zip Code <br /> All information submitted most be complete, accurate, and legible <br /> DATE NAME OF BUSINESS OR ADDRESS i1'9E E NVORK WM DOTE GAL1A7C5 (R) RISIDIEPMAI. NAME OF�TREATMENT <br /> FGAVED PROPERTYMMM PUMPED �G) cMEMICAL FACILITY <br /> PLEASE INCLUDE STREET a, DIRECTION. S�TRECT NAME At�II Ct71' (C Cm:MICAL <br /> _ /1In Cin. (} t r <br /> J �V <br /> '.0 City Q <br /> -I` Ti�rt51�� Becily 360 V-4f1C$I <br /> z <br /> Y _ � Gly �GaO �'•— LU LS T <br /> > ,.,f� <br /> z -1 l o D e b S' C1n 3G� yf tt.rcST <br /> ,J <br /> -19 47 City ZoD << <br /> - -t? cry lm> t <br /> 5 ft.- hal't, city < / <br /> 41 o r t CiLy v(b a <br /> S—Z�-0 <br /> 466,2z cm Z� <br /> 7 5A-11 s airs C,t~• 2oa <br /> 5-3k--i? l igs L 1�66gq <br /> -11-IN 7 3 2017 <br /> F-26-C-? s htav illraA Oh 2ENVIRONMN 8b <br /> ri <br /> 0A cin PER r T <br /> 9 <br /> `30 5T•S N s0 c;7 % '302,4 Q� P ni c►6 e,�►N. <br />.14 <br /> c, s2�cS <br /> V <br /> a EHD 42-04 <br /> 8130104 <br />
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