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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HURD
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13631
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2700 - Employee Housing Program
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PR0270120
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BILLING
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Entry Properties
Last modified
6/6/2025 11:01:35 AM
Creation date
9/30/2022 1:35:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2700 - Employee Housing Program
File Section
BILLING
RECORD_ID
PR0270120
PE
2765 - EMPLOYEE HOUSING-PERMANENT>180 DAYS
FACILITY_ID
FA0000454
FACILITY_NAME
HJS SOLIS 39-120
STREET_NUMBER
13631
Direction
N
STREET_NAME
HURD
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06104007
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
13631 N HURD RD LODI 95240
Tags
EHD - Public
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a � <br /> r <br /> A refuge admitted to the United States under section 207 of the INA. Evidence includes: <br /> ♦ INS Form 1-94 annotated with stamp showing admission under s207 of the INA; <br /> ♦ INS Form 1-688B(Employment Authorization Card)annotated"274a. 12(a)(3)" <br /> ♦ INS Form 1-766(Employment Authorization Document)annotated"A3";or <br /> ♦ INS Form 1-571 (Refugee Travel Document) <br /> An alien paroled into the United States for at least one year under section 212(d)(5) of the INA. Evidence includes: <br /> ♦ INS Form 1-94 with stamp showing admission for at least one year under section 212(d)(5)of the INA. (Applicant cannot aggregate <br /> periods of admission for less than one year to meet the one-year requirement.) <br /> An alien whose deportation is being withheld under section 243(h)of the INA(as in effect immediately prior to September 30, 1996)of <br /> Section 241(b)(3)of such Act(as amended by section 305(a) of division C of Public Law 104-208). Evidence includes: <br /> ♦ INS Form 1-6888(Employment Authorization Card) annotated"247a. 12(a)(10)". <br /> ♦ INS Form 1-766(Employment Authorization Document)annotated"A10"; or <br /> ♦ Order from an immigration judge showing deportation withheld under s243(h)of the INA as in effect prior to April 1, 1997,or <br /> removal withheld under s241(b)(3) of the INA. <br /> An alien who is granted conditional entry under section 203(a)(7)of the INA as in effect prior to April 1, 1980. Evidence <br /> Includes: <br /> ♦ INS Form 1-94 with stamp showing admission under s203(a)(7)of the INA; - <br /> ♦ INS Form 1-688B(Employment Authorization Card) annotated"274a. 12(a)(3)"; or <br /> ♦ INS Form 1-766(Employment Authorization Document)annotated"A3." <br /> An alien who is a Cuban and Haitian entrant(as defined in section 501(e) of the Refugee Education Assistance Act of 1980). <br /> Evidence includes: <br /> ♦ INS Form 1-551 (Alien Registration Receipt Card,commonly known as a"green card")with the code CU6, CU7, or CH6; <br /> ♦ Unexpired temporary 1-551 stamp in foreign passport or on INS Form 1-94 with the code CU6 or CU7; or <br /> ♦ INS Form 1-94 with stamp showing parole as"Cuba/Haitian Entrant"under Section 212(d)(5)of the INA. <br /> An alien paroled into the United States for less than one year under section 212(d)(5)of the INA. (Evidence includes INS Form 1-94 <br /> showing this status.) <br /> An alien not in categories 1 through 8 who has been admitted to the United States for a limited period of time(a non-immigrant). Non- <br /> immigrants are persons who have temporary status for a specific purpose (Evidence includes INS Form 1-94 showing this status.) <br /> SECTION C: DECLARATION FOR BATTERED ALIENS <br /> IMPORTANT: Complete this section if the applicant,the applicant's child or the applicant child's parent has been battered or subjected <br /> to extreme cruelty in the United States. <br /> Has the INS or the EOIR granted a petition or application filed by or on behalf of the applicant,the applicant's child, or the applicant <br /> child's parent under the INA or found that a pending petition sets forth a prima facie case? Evidence includes one of the <br /> documents on List B(attached hereto). <br /> Has the applicant,the applicant's child, or the applicant child's parent been battered or subjected to extreme cruelty in the United <br /> States by a spouse or parent, or by a spouse's or parent's family member living in the same house (where the spouse or parent <br /> consented to, or acquiesced in the battery or cruelty)? <br /> SECTION D: DECLARATION <br /> I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT <br /> THE ANSWERS I HAVE GIVEN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. <br /> Applicant's Signature: Date: / — 7 a <br /> Signature of Person <br /> Acting For Applicant: Date: <br /> 2 <br /> LC0001 <br />
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