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SR0084766
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084766
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Entry Properties
Last modified
7/14/2022 9:55:45 AM
Creation date
7/14/2022 9:33:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084766
PE
4221
STREET_NUMBER
4715
Direction
E
STREET_NAME
FOURTH
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
17324218
ENTERED_DATE
1/25/2022 12:00:00 AM
SITE_LOCATION
4715 E FOURTH ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Site Address: 4715 E 4th St, Stockton CA 95215 Record ID: SR0084766 <br />Date: 6/14/2022 <br />PHOTO # 1 Se tic tank destruction. <br />I <br />AN JOADUIN CO77"NTAL <br />NON-REFUNDq _BLE P HE <br />AutI DEPARTMEM- <br />ERMIT aly h,_ <br />J08 ADDRCSS ''r -JlJ th .'_.-_-,CALL 209 ELTON - - <br />--�_ -19) 953-_7.697 FOR /NS. -EC AVENUE - STOCKTON CA 95205 - <br />CROSS STREET %� (�4 (20 f ng -3420 <br />�' v' L� - �'--EXPt-RES I YEAR FR__OM DgTE ISSUED <br />OWNER NAME - <br />iAPN <br />OWNER ADDRESS LI 15 PARCEL SIZE <br />I 41 <br />� t <br />S,IDTO h SHIP TO®PNC <br />ADDRESS ADOflESS Salida, CA 95368 <br />CITY, STATE, ZIP CITY, STATE, ZIP <br />� Pc oaTE � <br />CUSTOMIER ORDER NO. SOLD BY TERMS EO <br />- ❑ PRICE U11l7 aMDUtfi <br />UFJDERED SHIPPED DESCRIPTION <br />❑ t - <br />r - a CJrT G A'� <br />❑ F. 3 rd <br />Mt <br />fs,e_'I sill <br />fl <br />• <br />Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 2 <br />
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