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ARCHIVED REPORTS_PUMP RPTS 2013
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ROTH
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4200 – Liquid Waste Program
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PR0541413
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ARCHIVED REPORTS_PUMP RPTS 2013
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Entry Properties
Last modified
12/3/2020 3:24:13 PM
Creation date
8/5/2020 10:09:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2013
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 2013.PDF
Tags
EHD - Public
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w <br /> P4 San Joaquin Public keatth Services Report for the month ofvC <br /> Errvironrnentat health Services ",.�. <br /> PO Box 2009(445 1%San Joaquin St.) Septic Tank and Cesspool Submitted by-AAA Seat ICS Ann, <br /> Stockton,California,95209 Cleaners Report <br /> Fax:41;40138 Address: (OSV3 S• f Yi►dV 4 <br /> rn Must be submitted by the 12"'of each month <br /> 0 <br /> 0 <br /> (n <br /> Date Name of Property Owner Address where work was performed type waste gal.pumped disposal site <br /> CO <br /> SaS� c15Z S <br /> -Z lzus AOU'lI tm . W3 5 o v <br /> 0 <br /> N —3 L-�0 D �c Y <br /> 3 bei - i 2Z a F_1 KVsom GS [{ ► o << [ <br /> _ i C 2 r& RS2.! is rr � y <br /> 0 c <br /> �— Y1 �I CA t OK3 !P0 het Q 0 1k IZOG U <br /> -5 I Gt Zb0(o a 6e\ST S 205 r A-2-00 �• <br /> Le L a S - 5e' hIn W '4S2D7 Gf-eaovo u <br /> t Z DH�>rd �d QSZiS SI. 6A 10UO it v <br /> V 1V t Z 5205 Il �( m <br /> H <br /> w0 <br /> Dmhs Ra 5txas lies�c 2�ttic� I� u <br /> Z - St 5tL 1000 u N CxD <br /> 'SM QS2-15 c[I 1000 <br /> u k <br /> t s,r ite1 V�eZ ^ T� 31 9 Z31 ,► o ,. <br /> M `rave 2 � 95205- IL 0 1 00 b It t; <br /> CO 619) Podc2tLS 104 UWcol C1510-7 G <br /> The fallowing excerpt from the code of Federal Regulations.Section 403"Report must be signed by a corporate officer who can legally bind the <br /> 0 company" <br /> I certify under penalty of taw that this document and all attachments were prepared under my direction or supervision. <br />
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