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Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545721
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Last modified
6/3/2020 11:37:23 AM
Creation date
6/3/2020 11:33:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545721
PE
3528
FACILITY_ID
FA0005425
FACILITY_NAME
LINDEN SHORT STOP
STREET_NUMBER
18974
STREET_NAME
MAIN
STREET_TYPE
ST
City
LINDEN
Zip
95236
CURRENT_STATUS
02
SITE_LOCATION
18974 MAIN ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
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EHD - Public
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VII. HEALTH AND SAFETY PLAN APPROVAL/SIGN OFF FORMAT <br /> I. Site Name s 2f /WOW (9l0 9 -" 6l-0 <br /> York Location Address L� ccs_ � on Shp Lig/�' _ Cid �_ <br /> (Street Address) (City) (State) (Zip) <br /> I have read, understood, and agreed with the information set <br /> forth in this Health and Safety Plan (and attachments) and <br /> discussed in the Personnel Health and Safety briefing. <br /> Site Safety Signature Date <br /> Co-ordinator <br /> C, <br /> Name Signature Date <br /> Na S ' ature Date <br /> ,Z_1 -�U <br /> Name lgna bate <br /> ate <br /> a _ j�r1c4A S`1gVA:I-M-0 I D12?! �0 <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Signature Date <br />
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