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90-1045
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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18846
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4200/4300 - Liquid Waste/Water Well Permits
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90-1045
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Entry Properties
Last modified
11/19/2024 1:54:03 PM
Creation date
12/3/2017 4:45:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
90-1045
STREET_NUMBER
18846
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
SITE_LOCATION
18846 N HWY 99
RECEIVED_DATE
05/13/1990
P_LOCATION
VICTOR FINE FOODS
Supplemental fields
FilePath
\MIGRATIONS\N\99 (HWY99)\18846\90-1045.PDF
QuestysFileName
90-1045
QuestysRecordID
1875000
QuestysRecordType
12
Tags
EHD - Public
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g(RD OF TRUSTEES SAN JOAOUIN xLOCAL HEALTH DISTRICT ' ~"--' SERVING <br /> City of Lodi � <br /> James Culbertson,Pres. P.O. BOX 2009 San Joaquin County <br /> Mary Anna Lore,vice Pres. 1601 East Hazelton Avenue, San Joaquin County <br /> Patricia E.Vannucci,Secy. City of Escalon <br /> Tommy Joyce Stockton,California 95201 City of Manteca <br /> Earl a Ma .NNL <br /> el City of Ripon <br /> Virginia Mathews (209) 466-6781 City of Stockton <br /> Daniel L Flores City of Tracy <br /> John D.Mast,M.D. Jogi Khanna,M.D.,M.P.H.,District Health OHtcer San Joaquin County <br /> Gene S.Kraham <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at QoLr <br /> hereby authorize �5L <br /> to release any and all analytical results, geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative . <br /> i <br /> Owner/Operator: h T' le: <br /> Address � �5� [, l - hoe:JF <br /> Date: ` d � <br /> l <br /> t <br /> -396C' <br /> 'F <br /> 1- <br /> l <br /> ,y - EH 08 05 UGT 13 <br />
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