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ARCHIVED REPORTS_XR0002152
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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3500 - Local Oversight Program
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PR0545215
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ARCHIVED REPORTS_XR0002152
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Last modified
1/27/2020 9:22:01 AM
Creation date
1/27/2020 9:09:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002152
RECORD_ID
PR0545215
PE
3528
FACILITY_ID
FA0005583
FACILITY_NAME
CARDOZA, TONY ET AL
STREET_NUMBER
8715
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
8715 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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• isI)tl Ir S 1 St, , ti !^, 4,ei <br /> J�n+ni [ rrl /+ T1r I r <br /> l It, i 1 <br /> I nlrr In I L a +r n, s r , <br /> Anihr rnlsn Ln lr ,r n lf,fll f 1 l �� l lel II Iltlll f' l flI n JI +Jultt r r <br /> 1 wll f r —'I. . LItY hf( 1f HI <br /> 'r+l �'Ir ( t Ili orf 11 1 I` (, ( I y r t Irrl r <br /> f <br /> I �rrl lSut, Ir. <br /> I ..'UJ/CGI, 6161 clly ul Itll, <br /> lrel l 1 turns .r. <br /> Jonn () Mest LS Ly C11y of (f I ell l <br /> WINIanl J Wadn , GuIity rf trn r <br /> Jopt Y�enne M 0 A P H nlelrlc[ Hr+elth Offleeu alrnJoar1ufnC rn.nly <br /> Mary Anne Love ;,An Jp1„u1n(.nur t, <br /> AOTHORIZAT1011' TO RELEASE ANALYIICAL RESULTS, GE OT LCHNICAL DA1A AND <br /> SITE ASSESSMENT INFORMATION <br /> 1 , the undersigned owner and/or operator of the property and/or facility <br /> located at 8715 G. ant I lnc Road, I i .(c% , C+ali forn:La <br /> hereby authorize the San Joaquin lo(.-:l Health If,-stiict <br /> to release any and all analytical results, geotechnical nata and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> Owner/Operator. Kapraelian Engineering; Inc. Title Agent <br /> Address nr-r,n cr,-��r_ NJAIt3nC phone _41S _ 228-1852 <br /> 94553 <br /> Date May 20, 1986 <br /> f <br /> EH 08 05 <br />
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