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ARCHIVED REPORTS_PUMP RPTS 2015
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 2015
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Last modified
12/3/2020 3:53:36 PM
Creation date
8/5/2020 10:02:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2015
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 2015.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Return this form by the <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 12th of each month <br /> . Telephone: (209) 468-3420 Fax:(209) 464-0138 Web: www.sjgov.org/ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: C Report for the month of:Vby-6..r,-7-6j,5 <br /> Company Address: d . 60 X C?a3 6an ,`1 Qj Signature: <br /> Street Address City Zip Code <br /> All information submitted must be complete, accurate, and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS lR} RESIDENTIAL NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (G) GREASE TRAP FACILITY <br /> PLEASE INCLUDE STREET #, DIRECTION, STREET NAME AND CITY C CHEMICAL <br /> cit <br /> Cd <br /> city <br /> city <br /> Cit <br /> city RECEIVED <br /> Cit <br /> Ci <br /> PERMIT/SE HEALTH <br /> a <br /> city <br /> city <br /> Cit <br /> Cit <br /> city <br /> Cit <br /> city <br /> Cit <br /> Cit <br /> • <br /> pty <br /> N o ►� h bei <br /> EHD 42-04O I SEPTAGE CLEANERS REPORT <br /> 1014/07 �O e� t(Yl b� <br /> P <br />
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