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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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HAMMER
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1210
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3500 - Local Oversight Program
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PR0545245
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/30/2020 11:53:34 AM
Creation date
1/30/2020 10:33:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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- , Jan 23 03 08: 0`3a Hr "%zon Env. Ince V 816 -138 2172 P. V <br /> FIP'T FL-MOC <br /> PAGE" 01 <br /> Sati Joaquin County g.'..EHD" <br /> QUtN <br /> ent <br /> Z,t • Michail Inturna, Senior RFS <br /> , <br /> Unit iv-Site or <br /> 304 E Weber Avenue M rfio � i <br /> 5th Floor, Stockton. CA 95202 <br /> Office Phone: (209) 468-3454 <br /> Email: rninfurna@sjcehd.corn FAX# (209) 468-3433 <br /> Date: <br /> # of Pages(inc[uding this sheet): <br /> VLA- <br /> FAX#: 172, <br /> Of. <br /> Comments: <br /> i I <br /> eDb <br /> �7_ <br /> STATEMENT OF GO+d FIDENTlW,E7y: 71te &tion irr this fac�mgc is IegaEty Atsged nd cpr lidenslaE itrfvtRpypr,Irlteaded Only ter the�6e�} addlessca <br /> Nlsted on t{s cover sheet h the reader of this memp i4 eot the iMendeG reap+ent,at tttg am�loyee M agent rtespohgiple m Cellver it t0 the Irtlendea redprent, <br /> !��M horeDy rronfle4 tfmi any aisseminetlon,distrtbutfan w COPYmS ofRhisleleunpy is aMcny prDltl611ed. 1!you have teotired this facaimkrrn ertpr. .. <br /> lmmgdlatPly nOhtY 49 by telephone 14 If1n nUritbl fli81t4!On UtIEI o7vef tl1iCCt 8ld RRltfll th¢OtiOin a mwasap.le of the eW..ev ate.Yt�fJEMt2A SRate Pgyt81 <br /> SenreCe. We wJ!�imhunxo your P6Lka In ndityn�y V5��M EetlalryRSi iB6 Tk158dga to u9. Thanit Ya u. <br /> EHD 4MI-D 12 <br /> REVISED S 13-02 FAX COVER SHEET <br />
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