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SR0021528
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2900 - Site Mitigation Program
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SR0021528
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Entry Properties
Last modified
11/16/2022 9:50:43 AM
Creation date
11/15/2022 2:53:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING/PERMITS
RECORD_ID
SR0021528
PE
3501
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054 (FORMER)
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-080-29
ENTERED_DATE
12/27/1999 12:00:00 AM
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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WELL PERMIT APPLICATION FORM UNIT IV <br />LOP r <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ' <br />ENVIRONMENTAL HEALTH DIVISION (PHS-EHD) -� <br />304 E. Weber, Third Floor, Stockton, CA., 95202 ORIGINAL <br />(209) 468-3449 <br />NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br />Application is hereby made to San Joaquin County for a permit to construct and/qr install the work described. This application is made in compliance with <br />San Joaquin County Development Title, Chapter 9-1115 3 and the Standards of San Joaquin County Public Health Services, Environmental Health Division <br />L Location (a ' Assessor's <br />WEL <br />CO'' �f v C 1 �, iS►✓,i <br />
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