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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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132 (HWY 132)
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2393
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3500 - Local Oversight Program
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PR0545635
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/4/2020 1:10:59 PM
Creation date
5/4/2020 12:57:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545635
PE
3528
FACILITY_ID
FA0003586
FACILITY_NAME
VERNALIS ORCHARD FUEL
STREET_NUMBER
2393
Direction
E
STREET_NAME
HWY 132
City
VERNALIS
Zip
95385
APN
25525007
CURRENT_STATUS
02
SITE_LOCATION
2393 E HWY 132
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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04g <br /> G. ),i_-\NDATOR.Y CO TLA 75 4_�t/ <br /> Pui3bc ,jeaith Services or San Joaquin County APR 16 1999 <br /> Enviroazneaml H=Ith Division: Ls <br /> (Cont_`+aloe) (i srle) (D=) <br /> San Joaquin CountyAPR 16 1999 <br /> Board of Surer-,isars: ��'1 � � u ` , � / �:05 R !�-J <br /> (Coarac_Naate) ("true) (D=) <br /> H HF kLTH AsND SArciY CODE ?j ISO.T <br /> b} Aay desigm=d gave-anent:employer who aotains infOrmarica is the course of his ofciaL duties <br /> revealing clic iIIegai disc:.arge or dwe:x-acd ille=l ais�, at z hazardous waste "vidlin die <br /> a gr..pnicai am ar bis jurisdi=on .:aa %,vera :cnfl%vs that �-ucx discharze or du==ned aise�rZe <br /> is t keiv:o —11-se ubs=ci al injury m � puhiic be_ith or sal y mu.—, within seventh-+�vv aaur5. <br /> disc!ose such intarrttanon m dte focal Board of Suom-risars and W to local Health Ofnce ver <br /> disclosure.of imar'natioa is required unc-tis subdivision when <br /> odienvise prohibited by 11mv. or <br /> when Ealy iorcYment personnel halve de=.--mini diat su disc:asure would adverse.. aff _a <br /> ongoing c;imiaal invesug,aoa. or w eer dw &crznanan is airesuv geaeral public kaawie..ge <br /> within the tocsiity a7izerced by die dischzz�or rued discharge. <br /> c) �mr designated ggveratneat entola�er discharge- <br /> who 'mowiaa:v and intentsaaallya s M disc!ase <br /> miarrrctaon z=uired :o die disc!osed um�-:,-QGdivisiaa (b) aril.upon,aavicaorL be ?uIIisite.". 74 <br /> isnorisonrne✓st;a :he county_ ;aii :err acc more daa one %er• r ar b~► imprsaamenr6 in ,ate prison or <br /> aar more d= T'ae c:urr acv ,iso unpcse-moa=e Tarrson i ane of Sot !ass din dve <br /> alousand dollars (Sj.000) or more dznve=v-rive tmusana dollars (S, .000). The %arty <br /> � <br /> convicdon =ar+iaiarion of.tis ser':tan simil require mrsm-:aur or gove.mment e;nplavzrteat wig <br /> d217 days (-_0)or convicdoa. <br /> I SiO ATLRE D[SCLOSUR E <br /> I make dais mart an behalf err" ail to design �plcne� of to Councv of San foaq� na <br /> :H <br /> (-a.getc�-vac) <br /> Signature: <br /> Tvved!Print Name: Lzt-_41 <br /> Date: y I __i Mme -2 "3cc- G) <br /> �v U s ! �'SNS=CODE? S 5 <br /> `DT5 C. CON-zv !N <br /> It��RRED TO: <br /> EH 2'-' A 1__ i Re t_s)�lZJ19H7 <br />
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