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ARCHIVED REPORTS_XR0004458
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545347
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ARCHIVED REPORTS_XR0004458
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Last modified
2/6/2020 4:44:57 PM
Creation date
2/6/2020 3:56:36 PM
Metadata
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Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004458
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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WWF, Inc., Environmental & Engineering GrouP <br />' Health & Sqfety Plan <br /> Page: 8 <br /> WHF, Inc., Environmental & Engineering Group <br />' Health and Sae Plan <br /> Safety <br />., Acceptance Sheet <br /> ' This form is to be completed by each person to work on the subject site. Complete and return <br /> to the project's Health and Safety Officer. <br /> ' <br /> Job Number <br /> ' Client Project <br /> lie Date <br /> I have read and understand the contents of the above indicated Health and Safety Plan and <br /> agree to perform my work in accordance with it. <br /> Signed <br /> 1' <br /> Print Name <br /> ' Company/Office <br /> ' Date <br />' 1 <br />
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