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ARCHIVED REPORTS_PUMP RPTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MAY
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22666
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4200 – Liquid Waste Program
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PR0505016
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ARCHIVED REPORTS_PUMP RPTS
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Last modified
12/4/2020 9:26:45 AM
Creation date
8/5/2020 10:04:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS
RECORD_ID
PR0505016
PE
4246
FACILITY_ID
FA0000142
FACILITY_NAME
CENTRAL VALLEY SEWER & SEPTIC
STREET_NUMBER
22666
STREET_NAME
MAY
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00316012
CURRENT_STATUS
02
SITE_LOCATION
22666 MAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\M\MAY\22666\PR0505016\PUMP RPTS.PDF
Tags
EHD - Public
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IRECEIVED <br /> /o,t+q►ll��s SAN JOAQUtN COUNTY <br /> MAR 14 2014 ENVIRONMENTAL HEALTH DEPARTMENT Return this form by the <br /> m <br /> M. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 12"' of each month <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.ors/ehd <br /> SEPTAGE CLEANER'S REPORT r <br /> Company Name: t �Q 1 L �- Report for the month of:�(l l S-byyear �t`-f- <br /> Company Address: J® CICir y 5350 Signature: <br /> Streot Address city rip Coda <br /> All Information submitted must be complete, accurate and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS RES""TIAL NAME OF TREATMENT <br /> PUMPED PROPERTYOWNER PUMPED GREASETRAP FACILITY <br /> PLEASE INCLUDE STREET N. DIRECTION, STREET NAME AND CITY C CHEMICAL <br /> cn <br /> city <br /> GA <br /> ViffCAtQ <br /> cfty <br /> cit <br /> city <br /> Cil <br /> d- <br /> city <br /> 0 <br /> City <br /> OD Q <br /> M city <br /> co <br /> CT) Cit o <br /> iD <br /> CD cilya <br /> N o <br /> Cit <br /> cit <br /> CSV CI <br /> CD <br /> CV <br /> city <br /> co <br /> m Eli❑42.04 SEPTAGE CLEANERS REPORT a <br /> m 10W07 <br /> r,- <br /> i i■%%i <br />
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