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ARCHIVED REPORTS_PUMP RPTS 2016
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL CAMINO ISLAND
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4200 – Liquid Waste Program
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PR0536737
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ARCHIVED REPORTS_PUMP RPTS 2016
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Last modified
12/3/2020 3:53:36 PM
Creation date
8/5/2020 10:02:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2016
RECORD_ID
PR0536737
PE
4244
FACILITY_ID
FA0021104
FACILITY_NAME
EL CAMINO BOAT CLUB
STREET_NUMBER
0
STREET_NAME
EL CAMINO ISLAND
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
EL CAMINO ISLAND
P_LOCATION
02
P_DISTRICT
000
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\E\EL CAMINO ISLAND\PR0536737\PUMP RPTS 2016.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Return this form by the <br /> 9868 East Hazelton Avenue, Stockton, CA 95205-6232 12th of each month <br /> Telephone:(209) 468-3420 Fax: (209) 464-0938 Web:www,sjgovprg/ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: �� �l � C-1 Report for the month of:6f year <br /> Company Address: � RoA 22 �- L>� Signature: Any a 6 <br /> 5freef ddress City N463 <br /> 8. <br /> All Information submitted must be complete, accurate and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RESIDENTIAL NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (G) GREASE TRAP FACILITY <br /> PLEASE INCLUDE STREET N, DIRECTION, STREET NAME AND CITYC CHEMICAL <br /> " <br /> city <br /> cit <br /> city <br /> Cit E <br /> -ftj VCU <br /> ,._ <br /> 2016 <br /> city <br /> cit <br /> Cel <br /> Lilt <br /> cit <br /> ctt <br /> city <br /> cit <br /> cit <br /> city <br /> ci <br /> cit <br /> cit <br /> Cit <br /> • <br /> city <br /> EHa 42-04 SEPTAGE CLEANERS REPORT <br /> 10/4107 <br />
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