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FIELD DOCUMENTS FILE 1
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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2103
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3500 - Local Oversight Program
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PR0544591
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FIELD DOCUMENTS FILE 1
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Last modified
6/21/2019 2:26:57 PM
Creation date
6/21/2019 11:30:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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--- —--1'— `J`— PLOT PLAM VD,.In SvW.I Sul. <br /> TERRA VAC CORP. Bank of America (stio)o49-e600 <br /> PETTY CASH San Leandro Industrial Center Branch#0804 3740 <br /> PH.(510)351-8900 1925 Marina Boulevard <br /> 14798 WICKS BLVD. San Leandro,CA 94577 <br /> SAN LEANDRO, CA 94577D� 11 March 2 , 199 5. 75 6oa <br /> 4 SPAY Eighty nine and 00/100 -----------------------------� 89 . 00 <br /> ti TO SAN JOAQUIN COUNTY PUBLIC HEALTH SVC. pu''NTY <br /> THE ENVIRONMENTAL HEALTH DIVISION SAN1CA. .: -tRVICES <br /> ORDER <br /> 5 OF NVRONMFNTAtHc,' iHDIVISIO <br /> - f <br /> s — <br /> Oil'V..Y2�.-tt_�tYiTLYY1,KiY;M14YYWi1..�ll ii�r lY:Ytj.11tYjili il'YYY2 ifA.LfiY(.1�"��i.Wv�l'��31'�jji .-_ yYY.Yt�yY12 Wei-S i�.L�2 iM1I N2✓•.5�1 <br /> TERRA VAC CORP. DETACH AND RETAIN THIS STATEMENT <br /> IF <br /> PETTY CASH THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW <br /> SAN LEANORO,CA 91577 NOT CORRECT,PLEASE NOTIFY US PROMPTLY.NO RECEIPT DESIRED <br /> DATE DESCRIPTION AMOUNT <br /> 3/2/95 Well Permit $89.00 <br /> P.O. #30-0212-3-6357 <br />
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