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WORK PLANS_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545252
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WORK PLANS_FILE 1
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Last modified
1/31/2020 12:11:07 PM
Creation date
1/31/2020 11:05:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
FileName_PostFix
FILE 1
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Quik Stop Markets February 1999 <br /> Project No. 62503.0003 �./ <br /> Page 8 <br /> ATTACHMENT A <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> '-' groundwater monitoring well installation project at the Quik Stop facility located at <br /> 3555 W. Hammer Lane, Stockton, California. <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I <br /> agree to notify the responsible employee of ATC should any unsafe acts be witnessed <br /> by me while I am on this site. <br /> Print Name Signature Date <br /> V <br /> Lr <br /> 4 <br /> 4 <br /> I,s <br /> 4 <br /> V <br /> V <br /> Safety Plan approved by: <br /> Project Manager <br /> 4 <br /> V <br />
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