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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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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 RECEIVED <br /> MAR 0 3 2014 <br /> w <br /> E <br /> Sari loactuin Public Health Services ENVIRONMENTAL HEALTH <br /> w PERMtT/SERVICES RePort for the month of ��{•Z� <br /> PO Box 2009)445 N.San JoagWn St.) Septic Tank and Cesspool Submitted by: c. Inc. <br /> Stockton,Caftrnla,95209 Cleaners Rgmd <br /> Fax:4640138 Address: 16W S. tr�rf Wa1// A <br /> Must be submitted by the 12a'of each month <br /> rn <br /> 0 <br /> Ln Q Date Name of Prop"Owner Address wbere work was performed type waste gal.pumped disposal site <br /> M� a <s -+— -c s2 e��d�nfc i 2c o <br /> —1 MaV ' 1-e �p rGt Sl EEL q5Zzl 1( it Il `l tc ft <br /> rn <br /> 0 2 CIFC q 521 tii K K K <br /> GA <br /> iS(rte 3&l fl L AVP t( t t cf <br /> 2-1( HW(t i Ian 13LPersh t` -Gr - q,e27u r tc �z f <br /> 12- 1—inri,jovil. 0 Egli wl0t1AP44-i Li it l� �l ti ll <br /> Z ' i's a IQ 2�224S7 re s 2-0 O « tt <br /> 3 ) Tu-are-,- l Jl ct ►t Li cc it <br /> 2--r-4 ISzT -k a M �c c;2o Grrease- <br /> �� <br /> H C U. itG�3 7 c�1I6a ai a 'c <br /> H de►� <br /> P4 <br /> -2-17 LjLothPe royi d 1 -77-70 5 'hfi q 5 2-31 j' ttv0o <br /> Loi eronci i -7 -72 S. 6r Ct X23t '� °� r: �+ <br /> Z 4o`f - prr v0 <br /> 2 t 41!`cLY1 avana t4 h qs2A2A V-e5-�jgnf1Cj ?_oto tt <br /> 0 <br /> - o CIS ke - Sim c� s� t, <br /> 2'ZLn a S. ies - . <br /> I�eS Glen zb t `�' <br /> Wemca i <br /> l �� k b <br /> The f fi6wing excerpt from the mde of Federal Regulatia+u Section 403`Report must be signed by a ca <br /> rporate officer who can legally bind the <br /> I cerflfy under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> o > <br /> c� <br /> r.- <br /> ■ ■ ■ ■ ■ <br />
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