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87-4334
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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87-4334
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Last modified
11/24/2019 10:07:12 PM
Creation date
12/5/2017 2:21:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
87-4334
STREET_NUMBER
6800
STREET_NAME
FAIRCHILD
STREET_TYPE
LN
City
STOCKTON
SITE_LOCATION
6800 FAIRCHILD LN
RECEIVED_DATE
12/18/1987
P_LOCATION
HAROLD ESPIDAL
Supplemental fields
FilePath
\MIGRATIONS\F\FAIRCHILD\6800\87-4334.PDF
QuestysFileName
87-4334
QuestysRecordID
1761798
QuestysRecordType
12
Tags
EHD - Public
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BOARD OF TRUSTEES SAN JOAOUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Anna love,Vice Pres. I 1601 East Hazelton Avenue,P.O.Box 2009 San Joaquin County <br /> Patricia E-Vannucci,Sec'y. I` San Joaquin County <br /> q Tommy Joyce I` Stockton,Calitomia 95201 City of Eswlon <br /> Ead Pimentei n City of Manteca <br /> Virginia Mathews (209)466-6781 City of Ripon <br /> Daniel L Flores City of Stockton <br /> !, John D.Mast,M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> Gene S.Kraham <br /> San Joaquin County <br /> AUTHORIZATION <br /> ITO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> ii <br /> �I� I <br /> I, the undersigned owner and/or operator of the property and/or facility <br /> located at Ij 6800 Fairchild Lane, Stockton <br /> hereby authorize McLaren Environmental Engineering <br /> to release any and all analytical results. geotechnical data and site <br /> .I <br /> assessment information to the San Joaquin Local Health District as soon <br /> u <br /> as it is avail 1able and at the same time it is provided to free or my <br /> representative. <br /> Owner/Operator: _William B. sparks, Jr. Title; President <br /> Address Down1! River International, Inc. Phone: (916)920-0290 <br /> ;I - <br /> 738 North Market Blvd. , Sacramento <br /> Date: December 15, 1987 <br /> i <br /> II <br /> I I J�• /`'��I <br /> I <br /> i, <br /> EH 08 OS UGT 13 <br /> II <br />
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