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SU0012194
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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7481
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2600 - Land Use Program
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PA-1900020
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SU0012194
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Entry Properties
Last modified
11/19/2024 3:48:17 PM
Creation date
9/9/2019 10:27:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012194
PE
2690
FACILITY_NAME
PA-1900020
STREET_NUMBER
7481
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
04913012, 05135001
ENTERED_DATE
2/19/2019 12:00:00 AM
SITE_LOCATION
7481 E HWY 12
RECEIVED_DATE
2/14/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\7481\PA-1900020\SU0012194\APPL.PDF \MIGRATIONS\T\HWY 12\7481\PA-1900020\SU0012194\EH PERM.PDF \MIGRATIONS\T\HWY 12\7481\PA-1900020\SU0012194\EHD COND.PDF
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EHD - Public
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APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES vJ <br /> 1 ENVIRONMENTAL HEALTH DIVISION <br /> ,;,,• 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> 1 (209)468-3420 <br /> NON-NIFUNDABEE PENBM EiPIAFS 1 TENR FROM BATE ISSUED <br /> ICC{gMM Al,T,r sAtnl <br /> IJRICATF 0HEREBYIAADE TO TME C''CA"COVNIY TOR A HAUNT TO COMATR 'M'OAR Ou"THEY OCANCHIC.TMB Ng1CATXIN2 MADE IN COMVl1AN[E NrtN CAN <br /> AAOURICWNti OEVIIpCICMrTANIF,CNAAFP81110.]IIVpT'TANOAMa DAM MA,0UNN COJN INAMI LTM YC11NC!&[NVIRD.AA MALTN CHNAM. <br /> C MX ALgED.—I ApY y S � J- ')7 iB- CRT /� OTCIEE - <br /> o mw•yn NE TLm`� G1✓ E mP se <—gmYr- MCAT <br /> coxAAcrDR /�////r5`� ADPAEID 9/D� ucA NS /aVS�owNE 3L4.<6t <br /> we cmRRReroR <br /> sOME68 Ixa nMlrt <br /> TvnoFamA WORN: <br /> ENC 13 RVAUHADDInDN INXTNOCMN❑ <br /> I. ENDEA`IC FHNI"CONEMED W MIUD COACH IB AVA AIHE CANADA 40C HEEf OF MRIONOA y Ta1C REr1.111Mow MµT <br /> !` AyprEen <br /> nt1ANI1TOX WILL a91VG mm.6k COMMFRCIN❑ OtNfll❑ r <br /> XWp10T UVMG ANI NU.9A OF aObOME:�_XIMCM OF XAPIOYFFI: <br /> CHARACTEROPaONTOADEFTROI]FEC: Caiji- RRARRSSOILCMARACIDL v- wATEA rAeM DEPTH, /1 <br /> EETIIO rANRA1W11FFTw ❑TrTEnfO cMACTfY �'//PJ NO.COMPAAHAEMc 9 <br /> AO EREATMEXT MN!❑ DISTANCE TO..T: HxLL MUNOAMN gCH`MtT. <br /> IiT STATMA❑ CNE "Or%IMP - BAND OI REPAAATOR ME..W III <br /> i V1CANAO PXE III.AD.•u mOFum'1-t0A MAAxL4To rE,wEA:NAu + _TOuwATMN A6, CHFNTYIaT <br /> MCI aM 13 wC x EENOTH OEDf11i PHITO NEAR I:WELL WIMIATION <br /> bpp PEllTT uxE <br /> MOUOf I]WMllyl y tyxpTN OErNDIBT.'TO NFNECT:. TOUNDATION�"OHN!"UNE <br /> 4YAGE NTI ❑pEPRI @! NMI DICHANCE TO IEARCTI WELL�_fOAp•ATXIN�_WIOgRIy INF <br /> aAMn IsWmlx f A tAUTx !O, CEPTN EQ' OC"ANCE TO NIwR1 FOUNDATION .�e, plpFl(ry LAE EIS' <br /> f o1VONIL FOxw 'I3 WIOTM IENIC DO mFrANDE TO NEAIENTI NxLL�WIIMDATIOM�gMRRx LAE <br /> A THIS APRKATION AHp THAT THE wtlW(WLL UE ppNF IN ACCOM/•NC(wn11 EAN JpAOUN[OOMY OIMIAIICFC ANp STATE Lu NN,ANO ROIEy <br /> I AM01®INATRM'M'AH AAOON CONH'T""pMEO""ECDCA"AOIM'S nAu"NA06 COCHFCC ME FOnOWDp:•ICEMITVTHAT WTNEFNEAI .E OT M,NI rdIWIXCN <br /> 1NM TARAR n1O11EO.I HALL Igi CMROV AM'RARDN M BDCII A M/JN <br /> �: COICABE CE�IONl A 'AIRIYMAT IN TA'B TO BFCOAE IyyCCTTRrIPO W�OTRMfMdHfFNAC�✓,LHM.iM1fT N'I'TH"OCAI 1MDOHRMA:MCLOI <br /> OMMN[ <br /> rOTCCDMBDEVCRT TDoWORfMNATC"CfFNSATIOMWHNNCTT-MEAMECWMTCNETUW INV4E TCHLLd .I..MHOTHAMa.COMRAMWHAD IMOON. <br /> MOR <br /> WiE: Z4l' r <br /> r .. <br /> . nOT MM dMW l0 CCHFI OCAL! 'R1. . . <br /> �- 1.MM680r E11Dly8MgApB NEAREC1 iOOR COVMANO TM IMPFMY. E.IDCATION OF ADM FLWAOI%HOCM OYBTEM OR Rb1pAD <br /> _ _.._ <br /> ,MAR 16 1999 EIIEetEnll Rea <br /> T� PUBLIC 1,a4NJU "NCO <br /> A 1O E/AiflO-MEWALLry SER✓1(-ESieI'"P� <br /> iCn 1 IBJ FALTIi plygyM 1 <br /> xY' <br /> ,[ �\��� `NCH' ' s-I-•--m77 .1 <br /> 11sH, bxn. erP " I <br /> 11 e. <br /> i <br /> HammerM1 Tum aloun0 ___ _ -- <br /> 7 <br /> -r � ; <br /> - <br /> r--• <br /> A9MCATIM ACCEPTED Rv c. DATE: n ,.. <br /> AnA: <br /> Ma_o T OR®ACAOrIDNO ` MTE INALAMECT. OATS i <br /> AoolrrowM mAwvrra:�`/7��� .et�d /'. _ � / I• <br /> o l o y5 � 30 AE.w/E -GoME <br /> AeeoDNTAO oxer: TACE <br /> ooE ICTINTO AND.,CONATTEO AEAM Cr DATE uAEnMrRWRI INVOIAT , <br /> t <br /> Pub.xerm SArv.-EWD 174(M) <br /> E <br />
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