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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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L <br /> r Joaquin County � - CQ <br /> _• G <br /> Environmental Health Department <br /> Michael Infurna, Senior RENS <br /> Unit IV- Site Mitigation/LOP . kP <br /> 304 E Weber Avenue �xoR <br /> 5th Floor, Stockton, CA 95202 <br /> Office Phone: (209) 468-3454 FAX# (209) 468-3433 <br /> Email: minfurna@sjcehd.com <br /> Date: 'z-1 2-- , 01 <br /> FAX <br /> # of Pages (including,this sheet): <br /> To: FAX #• (do ) ` / Q <br /> of: r/a-c-C <br /> Re: <br /> Comments: <br /> Q <br /> t//40 <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 responsible to deliver it 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 return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us, Thank You, <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 5-13-02 <br />
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