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REMOVAL_2013
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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17405
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2300 - Underground Storage Tank Program
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PR0537996
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REMOVAL_2013
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Entry Properties
Last modified
11/20/2024 9:21:42 AM
Creation date
12/30/2020 11:25:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2013
RECORD_ID
PR0537996
PE
2361
FACILITY_ID
FA0021934
FACILITY_NAME
FRUIT STAND
STREET_NUMBER
17405
Direction
N
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
05125042
CURRENT_STATUS
02
SITE_LOCATION
17405 N HWY 88
P_LOCATION
98
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0537996_17405 N HWY 88_.tif
Tags
EHD - Public
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0 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 <br /> AUTHOFJZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> GEOTECHNICAL DATA <br /> ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> 1,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT .41 /%Vz1R,3, <br /> (Street Address) (City) <br /> HEEBY <br /> AUTHORIZE (5�569 <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE SAME <br /> TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: 151-?61,( !;-;��Ieild <br /> (If Applicable) <br /> OWNER/OPERATOR: <br /> (Pleas Print) (Title) <br /> '2- <br /> (-(Owner/O&ator Signat&4) (Date) <br /> ADDRESS: <br /> (Mailing Address) <br /> 4a�4 ' - 3 7 <br /> (City (State) (Zip Code) <br /> PHONE:C6A�0 <br /> EH 23 046 (Revised 8/1/11) <br />
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