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Environmental Health - Public
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EHD Program Facility Records by Street Name
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BACON ISLAND
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14200
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3000 – Underground Injection Control Program
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PR0524157
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Last modified
2/5/2019 3:41:02 PM
Creation date
2/5/2019 3:23:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
WORK PLANS
RECORD_ID
PR0524157
PE
3030
FACILITY_ID
FA0016229
FACILITY_NAME
BARSOOM PROPERTY UIC
STREET_NUMBER
14200
STREET_NAME
BACON ISLAND
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
12920012
CURRENT_STATUS
02
SITE_LOCATION
14200 BACON ISLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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AUTHORIZATION STATEMENT'. <br /> s <br /> This offer shall be valid for a period of(60) days from theproposal :date. Please sign1 <br /> one � )copy <br /> of this proposal and return along with first payment(if applicable)to'Advanced GeoEnvironmental, M <br /> , 1 <br /> Inc. Signature of this document constitutes authorization of the scope of services outlined herein <br /> under the terms and conditions presented-in the payment schedule. <br /> I, <br /> The undersigned has read and understood this document. <br /> For: BARSOOM PROPERTY; <br /> Analysis of Septic Tank Contents - 14200 West Bacon Island Road, Stockton, CA <br /> Contract No. 04-2657 ' <br /> 31 March 2004 ". <br /> Authorized by. <br /> lease print name clearly <br /> A Lo <br /> Sign turei Date <br /> 1 1 <br /> Title <br /> Company. �..; c� /� Q_ O ,ct <br /> I� JI <br /> li <br /> For: Advanced GeoEnvironmental,Inc. 'a AAA <br /> Contract No. 04-2657 <br /> i <br /> 31 March. 2004 � <br /> Authorized by: Robert E. Marty` ,1 <br /> VP/Director of Operations <br /> Advanced GeoEnvironm.ental,Inc. I <br /> 837 Shaw Road <br /> Stockton, CA 95215 R <br /> Si ature. hatq( <br /> k <br /> (see attached TERMS AND CONDITIONS) <br /> ik Advanced GeoEnvironmental,Inc. <br /> 1 <br />
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