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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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21000
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2900 - Site Mitigation Program
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PR0526373
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COMPLIANCE INFO
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Last modified
11/20/2024 9:09:14 AM
Creation date
2/18/2020 2:15:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526373
PE
2950
FACILITY_ID
FA0017846
FACILITY_NAME
VICTORIA ISLAND FARMS
STREET_NUMBER
21000
Direction
W
STREET_NAME
STATE ROUTE 4
City
HOLT
Zip
95234
APN
12919030
CURRENT_STATUS
01
SITE_LOCATION
21000 W HWY 4
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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04/01/08 TUE 16:03 FAX 209,_ 837 VICTORIA ISLAND FARM, f7j002 <br /> Date.April 1, 2008 <br /> Environmental Health Department, Sm Joaquin County <br /> 600 East Main Street <br /> Stockton, California 9$202-2708 <br /> Subject: Permission slip to enter property <br /> I, &ek V/6 f ,as property owner,or owner's representative,of parcel <br /> f1PN 129-19-030 (Victoria Tslan.ds Farms),do herby grant permission to ENGEO <br /> Incorporated and their subcontractors permission to enter the subject property and <br /> conduct subsurface exploration consisting of drilling soil borings. T give ENGEO <br /> Incorporated the right to sign on my behalf the County of San Joaquin Application permit <br /> for Well Construe ion/Destruction. <br /> 11,4,d <br /> Signature Print Name <br /> zo/zo,d 66TO 990 sz6 T Q2iUd0JWDNI MN9 2S:01 8e2z-TO-6du <br />
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