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ARCHIVED REPORTS_PUMP RPTS 2014
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 2014
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Last modified
12/3/2020 3:53:36 PM
Creation date
8/5/2020 10:02:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2014
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 2014.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.orglehd <br /> SEPTAGE CLEANER'S REPORT <br /> , <br /> Company Name: 0 wq a) Ci C 1 u A-) Report for the month of: year x / <br /> Company Address: % • P, l 923 S0s) t4GkC C�! �(�qC; signature: 11PIO-jUa L � <br /> Street Address City Zip Code <br /> A,l,li iimformation submitted must be complete, accurate, and le ible <br /> ATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RESIDENIAL NT <br /> P,11MPED PROPERTY OWNER PUMPED (G) GREASE TRA I <br /> PLEASE INCLUDE STREET #, DIRECTION, STREET NAME AND CITY C CHEMICAL <br /> f Cit JAN 2 0 2015 <br /> city 649H <br /> City FERMIT(SERVICES <br /> City <br /> t <br /> City <br /> at <br /> � I <br /> City <br /> 1 Cit <br /> Cit <br /> Cit <br /> Cit <br /> CII <br /> Cit <br /> cit <br /> CIL <br /> Cit <br /> Cit <br /> 'I <br /> � cit <br /> I' <br /> (crib <br /> -1711D 42 <br /> 1014/0714/07-04 �J ` �� (I t �l l� _ SEPTAGE CLEANERS REPORT <br /> i � �^ <br />
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