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Environmental Health - Public
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3000 – Underground Injection Control Program
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PR0515035
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2019 3:56:26 PM
Creation date
2/11/2019 3:03:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0515035
PE
3030
FACILITY_ID
FA0012021
FACILITY_NAME
WESTERN SQUARE INDUSTRIES INC
STREET_NUMBER
1621
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
1621 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
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EHD - Public
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X.- <br /> 304 <br /> .304 E Weber Avenue <br /> 3rd Floor, Stockton, CA 95202 FAX #: O (209) 464-0138 <br /> Phone: (209 468-34 <br /> ) 20 l! <br /> _p 0, (209) 468-8392 <br /> ;' ';t (209) 468-3433 <br /> .k <br /> Date: i <br /> FAAX 3 05 Time: <br /> ^'. <br /> # of Pages (including this sheet): <br /> a— <br /> I � <br /> �E <br /> To: ILD1I�' Qr c7 <br /> FAX:iI 0 9 3 ` <br /> Of: <br /> From: <br /> Ra Voice�Phone <br /> Re: D 4-rkc4- 1 t�rA 0 t-1 4 rt <br /> O Urgent O For Review O Please Reply O Please Recycle <br /> Comments: <br /> p <br /> �I� k <br /> j� <br /> �M <br /> 1. <br /> 1. w <br /> i <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent resppnsible to deliver k to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and retum the original message to us at the above address via United States Postal 11J <br /> Service. We w ll reimburse your costs in notifying us and returning the message to us. Thank You. E <br /> EHD 48-01-012 i <br /> REVISED 6.14-02 FAX COVER SHEET <br />
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