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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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12 (STATE ROUTE 12)
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13889
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3500 - Local Oversight Program
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PR0545719
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 3:47:36 PM
Creation date
6/3/2020 11:22:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545719
PE
3528
FACILITY_ID
FA0005335
FACILITY_NAME
CHARLES JACOBS
STREET_NUMBER
13889
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
13889 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SGhf` <br /> 304 E. Weber St., Third Floor. <br /> Stockton, CA., 95202 1 SanJoaquin <br /> General Office: (209) 468-3420 Public Health Servicesq <br /> Facsimile: 5th Floor - (209) 468-3433 Environmental Health <br /> 3rd Floor - (209)464-0138 Division "PHS-EHDII <br /> 1 <br />{ Fax <br /> I To ( y�* s�- From: Z— <br /> I <br /> i Company - Phone: <br /> Fax: <br /> 1, <br /> Date: 3 - 9- O 0 <br /> Re: %-erwd li syI?a. /6? Z,3 gi z1 d ,* <br /> CC: <br /> i <br /> Pages• <br /> i <br /> ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle <br /> • Comments: <br /> STATEMENT OF CONFIDENTIALITY: The.infornation in this facsimile is legally privileged and confidential information <br /> intended only for the use of the addressee listed on this cover sheet If the reader of this message is not the intended <br /> recipient or the employee or agent responsible to deliver it to the intended recipient, you are hereby notified that any <br /> dissemination,distribution or copying of this telecopy is strictly prohibited. if you have received this facsimile in eror, <br /> please immediately notify us by telephone at the number listed on this cover sheet and return the original message to us <br /> at the above address via United States Postal Service. We will reimburse your costs in notifying us and returning the <br /> message to us. Thank You. <br /> i <br /> E <br />
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