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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GREAT VALLEY
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2900 - Site Mitigation Program
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PR0542222
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COMPLIANCE INFO
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Entry Properties
Last modified
2/19/2020 6:48:08 PM
Creation date
2/19/2020 4:56:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0542222
PE
2959
FACILITY_ID
FA0024253
FACILITY_NAME
MOUNTAIN HOUSE DEVELOPERS-SHEA HOMES
STREET_NUMBER
0
STREET_NAME
GREAT VALLEY
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
02
SITE_LOCATION
GREAT VALLEY PKWY
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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TEAM COMPOSITION <br /> TEAM MEMBER RESPONSIBILITY <br /> f S <br /> EMERGENCY INFORMATION <br /> LOCAL RESOURCES PHONE NUMBER <br /> Ambulance ( ) q 1 <br /> Hospital emergency room ( ) qll <br /> Poison control center ( ) q <br /> Police <br /> Fire department ( ) oil/ <br /> Explosives unit ( ) CJ <br /> Agency contact ( ) <br /> SITE RESOURCES AVAILABILITY <br /> Water supply D�,1( I �`Q,ii SU 0I( (A <br /> Telephone <br /> Radio <br /> Other N ek <br /> ! EMERGENCY CONTACT /� 2 <br /> Name: 1 ��� C, Phone: ("IZ� pq3 - YJ� <br /> Emergency Route (list road or other directio s: attach map(s) <br /> Hospital: vl V-GL ' I I <br /> Other: <br /> IGNATURES DATE <br /> AM"�zk�) <br /> NOTE: A signed copy of this plan must be kept on-site at all times. <br />
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