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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1856
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3500 - Local Oversight Program
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PR0544589
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Last modified
6/21/2019 6:08:48 PM
Creation date
6/21/2019 9:31:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544589
PE
3528
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
02
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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iM <br /> Ajh - -i <br /> rrr , o <br /> O'Nner Name and Address Facility Name and:address <br /> ELDER,FASSEL(PHILLIP) COUNTRY CLUB FOOD&FUEL MINI MART" <br /> r 4680 PEACH RD 1656 W COUNTRY CLUB13LVD <br /> MANTECA CA 95336 STOCKTON CA 95204 <br /> Facility ID FA0001909 Facil ty Name COUNTRY CLUB FOODS FUEL VVDx5 Account ID <br /> Rerari IG SR0057559 Site Location 1856 i 1854 COUNTRY CLUB BLVD Update Address <br /> a #kms <br /> a . <br /> A <br /> e <br /> ff <br /> 0 _" Property Owner PHIL ELDER Census-� <br /> Business Name COUNTRY CLUB FOOD AND FUEL District 002 RUHSTALLER,LARRY, , <br /> St NoFraction Pre tk Street Name:.... st T $ .Location 99 UNINCORPORATED AREA <br /> Leggy 1856 _r—r —COUNTRY CLUB JBLVD <br /> Address Post City code <br /> 07 Una T e Una Cross St a- <br /> a MISSION Jurrsdictian � <br /> 2nd Aess.4880 PEACH,MANTECA <br /> PE 3503 � LOP MONITORING WELL INSPECTION AC <br /> File Er Cit}St Zip;STOCKTON CA 95204- APN 12319102 <br /> New Country�US USA LastActivRy <br /> Phone1 (209)4777-7605 Ext f— <br /> Phone 2(209)467-1006 Ext <br /> AI Folder< <br /> Pro err 04vner F'equestur Ra f heck. Plan Ct euk Dates. Curnrnenti: UIS Daily Activities Violations Invoices <br /> 0Items )Onfirre <br /> t Start i Inbox-Microsoft OW- <br /> Envision cc 3:36 PM <br /> Monday,Jun 15,2009 03:36 PM <br />
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