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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545289
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 11:39:49 AM
Creation date
2/11/2020 8:33:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545289
PE
3528
FACILITY_ID
FA0003828
FACILITY_NAME
VAN BUSKIRK GOLF COURSE
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
CURRENT_STATUS
02
SITE_LOCATION
1740 HOUSTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r' <br /> San Joaquin i <br /> Environmental <br /> lth <br /> • CQL►FOR�\P <br /> 304 E Weber Avenue FAX #: O (209) 464-01383rd Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 Q (209) 468-8392 <br /> (209) 468-3433 <br /> Date: o' ' Time: <br /> FAX <br /> # of Pages (including this sheet): ty <br /> To; - 9 _ / <br /> Of: <br /> From: / Voice Phone #: <br /> Re: <br /> ❑ Urgent For Review O Please Reply O Please Recycle <br /> Comments: <br /> U— -,- <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information inten ed only for the use of the addressee <br /> listed on this cover sheet, if the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and return the originalmessage to us at the above address via United States Postal <br /> Service. We wilt reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-01-012 <br /> REVISED 6-14-02 FAX COVER SHEET <br />
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