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ARCHIVED REPORTS_PUMP RPTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CROWS LANDING
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4221
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4200 – Liquid Waste Program
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PR0536471
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ARCHIVED REPORTS_PUMP RPTS
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Entry Properties
Last modified
12/3/2020 4:42:50 PM
Creation date
8/5/2020 10:01:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS
RECORD_ID
PR0536471
PE
4246
FACILITY_ID
FA0015391
FACILITY_NAME
A & R SEPTIC SERVICE
STREET_NUMBER
4221
STREET_NAME
CROWS LANDING
STREET_TYPE
RD
City
MODESTO
Zip
95351
CURRENT_STATUS
02
SITE_LOCATION
4221 CROWS LANDING RD STE 100
P_LOCATION
98
P_DISTRICT
000
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\C\CROWS LANDING\4221\PR0536471\PUMP RPTS.PDF
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EHD - Public
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C> Return this form by <br /> E,NVIRONNIFNTAL HEALIA DEPART'ME47 the 12* of each month <br /> C\j 304 East Weber Avenue, 3"' Floor,Stockton,CA 9- 02 2708 T��� <br /> Telephone: (21)9)468-3420 Fax (209)464-0139 Web; -OvtEX <br /> SE#P/TAGS CLEANERS REPORT <br /> Name: <br /> Report for the roo th of: ✓ year <br /> C;Uff <br /> CompaR, <br /> Company Address: Signature:c�� <br /> sttaer adareg: city. <br /> Ali infntmatioat submitted most be cam lete, accurate, mad ie ible (R) EFSIDDPEa7AL <br /> DATE NAME OF 8ifS11VES5 OR ADDRESS WHERE WORK WAS DO IK GALLONS {G} (;UASIX TRAP TlhhtE F F ILITY TREATMENT <br /> PUMPED FACILITY <br /> PUMPED PROPERTY OIE'NER PLEASE iNCLEa76 STREET v, D[RHCTIDV, STREET NAME AND CITY � � CAIRMICAL <br /> Cary <br /> city <br /> city <br /> Cih• <br /> 17 <br /> i <br /> ! city <br /> J <br /> GN J <br /> city <br /> -y <br /> City <br /> ` city <br /> CC) City <br /> co <br /> co <br /> co ty <br /> CV <br /> a3 <br /> C, CLiy <br /> N <br /> x L1ty <br /> L� <br /> ai <br /> F— <br /> CD CD CiIF <br /> C> <br /> Cil} <br /> Ch., <br /> City <br /> q 4_ <br /> Scplie.'!e�sNtiol Report <br />
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