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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COLLIER
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4260
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4200/4300 - Liquid Waste/Water Well Permits
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PR0546386
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Last modified
3/3/2021 2:55:21 PM
Creation date
3/3/2021 2:50:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
PR0546386
PE
4246
FACILITY_ID
FA0026291
FACILITY_NAME
CENTRAL VALLEY SEWER SEPTIC & BACKHOE SERVICE
STREET_NUMBER
4260
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
4260 E COLLIER RD
P_LOCATION
99
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4246-PUMPER YARD <br /> Permit ID# PT0027751 for Record ID# PR0546386 <br /> Valid From 12/9/2020 To 12/31/2021 <br /> PERMIT TO OPERATE - 4244-PUMPER TRUCK <br /> Permit ID# PT0027752 for Record ID# PR0546387 <br /> Valid From 12/9/2020 To 12/31/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: POLHEMUS, PAUL <br /> DBA: CENTRAL VALLEY SEWER SEPTIC & BACKHOE SER' <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CENTRAL VALLEY SEWER SEPTIC & BACKH Facility ID FA0026291 <br /> 4260 E COLLIER RD Account ID AR0049946 <br /> ACAM PO CA 95220 Issued 1213112020 <br /> Billing Address: ATTN : POLHEMUS, PAUL <br /> CENTRAL VALLEY SEWER SEPTIC <br /> 3746 FOURTEEN MILE DR <br /> STOCKTON CA 95219 <br /> 7027.rpt <br />
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