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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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ROTH
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865
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4200 – Liquid Waste Program
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PR0541413
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ARCHIVED REPORTS_PUMP RPTS 2014
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Entry Properties
Last modified
12/3/2020 3:24:14 PM
Creation date
8/5/2020 10:09:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2014
RECORD_ID
PR0541413
PE
4244
FACILITY_ID
FA0023730
FACILITY_NAME
AAA SEPTIC INC
STREET_NUMBER
865
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19332016
CURRENT_STATUS
01
SITE_LOCATION
865 ROTH RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\R\ROTH\865\PR0541413\PUMP RPTS 2014.PDF
Tags
EHD - Public
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N <br /> RECEIVED ' <br /> JUN 0 4 2014 <br /> San 3oaouln PuGtic Neatih services Repart for the month of—ma, '/ ZD tl <br /> P4 EnviropmentW Health sendces <br /> St.) Septic <br /> HEALTH Submitted C <br /> PO Box 2009(445#.San by <br /> Stockton,Cakfornia,95209 Cleaners Report <br /> Fax 4540138 Address:145S3 SArt)o f �A <br /> Most be.submitted by the 120 of each month <br /> o, <br /> o Date Name of Property Owner Address where work was performed type waste gaf. lxnnPQd disposal site <br /> o —' LC� QOZ Stic —n <br /> Stl� S Z3 kt c r t {p(� t c r <br /> K s s� oLl WL41,Let <br /> fi L 0 k <br /> l� k ' g52L4 R i, tk� <br /> _ 10Cd I S �c�eAS� t tc <br /> 4 52A r'-S td tZ&,c I' <br /> y <br /> GLV M <br /> U S � <br /> H <br /> P4 fi100,kA/j <br /> man <br /> I` p tc k <br /> y _ <br /> S Y s V <br /> l JT V? it k <br /> L7-_ <2 f o <br /> �1CLCL S 52Dk� cl I a <br /> M <br /> rI i S tt f� Zoo !f <br /> The following excerpt from the code of Federal Regulations.Section 403"Report must be s4ped by a corporate officer who can tegatly bind the <br /> ampany" <br /> o I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. '— <br /> N 1 <br /> M , > <br />
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