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REMOVAL_1995
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505490
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REMOVAL_1995
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Last modified
5/10/2021 11:48:24 AM
Creation date
11/5/2018 1:09:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0505490
PE
2381
FACILITY_ID
FA0006810
FACILITY_NAME
ESTATE OF WILLIAMS ET AL
STREET_NUMBER
816
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
816 E HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAZELTON\816\PR0505490\REMOVAL 1995.PDF
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EHD - Public
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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (209) 46&3420 <br /> AUTHORIZATION TO RELEASE <br /> ' ANALYTICAL RESULTS <br /> ' GEOTECHNICAL DATA <br /> ' ENVIRONMENTAUSITE ASSESSMENT INFORMATION <br /> I,THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY <br /> LOCATED AT 618 E. HAZELTON, STOCKTON, CALIFORNIA <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE `;PARnm TFCHNni ony/IIPnRAnjFNT <br /> (Laboratory or ConsuUant) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES AS SOON AS IT IS AVAILABLE AND AT THE SAME TIME IT IS PROVIDED <br /> TO ME OR MY REPRESENTATIVE. <br /> BUSINESS NAME: <br /> 0 P Pe C;f es t'4tC (If Applicable) <br /> NArNe <br /> OWNER/OPERATOR: ESTATE OF HICKINBOTHAM, ET.AL. <br /> (Please f) itle) <br /> C <br /> 45 HUNTER SQUARE PLAZA <br /> ADDRESS: g <br /> JKTTOCNddress) CA Y52O2 <br /> (City) (State) (Zip Code) <br /> PHONE: ( 2U9 ) 4b5 5628 <br /> DATE: 31 OCTOBER, 94 <br /> EH 23 041 (Revised 7-10-92) Page* (o <br />
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