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SU0015055
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-2200136
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SU0015055
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Entry Properties
Last modified
12/18/2023 10:12:52 AM
Creation date
7/22/2022 9:25:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0015055
PE
2632
FACILITY_NAME
PA-2200136
STREET_NUMBER
12887
Direction
E
STREET_NAME
BLOSSOM
STREET_TYPE
CT
City
LOCKEFORD
Zip
95237-
APN
05131049, -50
ENTERED_DATE
7/21/2022 12:00:00 AM
SITE_LOCATION
12887 E BLOSSOM CT
RECEIVED_DATE
11/3/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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Thank you for consulting with the UAIC <br /> Please complete one form for each notification. <br /> �I'y cuai Kt <br /> How to submit a consultation notification or project update: <br /> 1. one form must be completed for each project. <br /> 2. Forms cannot be saved and completed at a later time. <br /> 3. Include all relevant project information, <br /> 4. Upload file attachments.Multiple files can be attached. <br /> 5. Submit form. <br /> 6. You will receive a submission receipt via email when submission is complete. UAIC prefers our online <br /> submission farm over certified or hard copy letters. <br /> Contact the Tribal Office at(534)883-2390 for questions or concerns.Ask for Tribal Historic Preservation or <br /> use the contact form located on our website. <br /> Fc-o-rii Information <br /> Consulting on San Joaquin County Community Development❑apartment <br /> Behalf of* Lead Agency, Consulting Firm,Tribe <br /> Mailing Address Street Address <br /> 1810 E Hazelton Ave <br /> Address Line 2 <br /> City State J Province!Region <br /> Stockton California <br /> Postal I Zip Code <br /> 95205 <br /> Point of Contact for Giuseppe Sanfilippo <br /> Consultation'" Primary Contact Name <br /> Point of Contact gsanfilippo@sjgov.org <br /> Email* <br /> Second Point of r Yes <br /> Contact is there more than one point of contact for this project? <br /> Regulatory <br /> Consulting Under* This project fall under the following regulatory requirements: <br /> r Federal (' State of California r Federal and State <br /> r: Other <br /> Project Notification Information <br /> Project Name's PA-2200136(A) <br /> Please include Name and Reference Number(if applicable) <br />
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