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3500 - Local Oversight Program
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PR0545742
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Entry Properties
Last modified
6/9/2020 9:41:50 AM
Creation date
6/9/2020 9:37:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545742
PE
3528
FACILITY_ID
FA0005564
FACILITY_NAME
RIVERA, ANTHONY
STREET_NUMBER
15971
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
15971 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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17x� o:MauM }-RUM FISCH ENvIRONMENTAL 2097723571 <br /> r 3 P. 3 <br /> FISCH ENVIRONMENTAL <br /> 399 SHERI'S PLACE VALLEY SPRINGS: CA 95252 <br /> PHONE#.(209)772-3570 FAX#(209)772-3571 <br /> San Joaquin County <br /> Dept. of Environmental Management <br /> 304 E. Weber <br /> Stockton, Ca 95201 <br /> RE_Well Permits <br /> I do here by give Sean Garvey,of Ground Zero,my permission to sign the Well Permits for <br /> 15971 No, Tracy Blvd. Tracy, CA for the work we will be performing. <br /> Date: 4 �� Signature; <br /> Contractor Name: David Fi 'h <br /> Company Name: Fisch Envirortmental <br /> Company Address: 399 h <br /> .Ct.'s Place <br /> City, State,Zip Code:'Valley Springs, CA 95252 <br /> Company Phone Dumber:__ (209)772-3570 <br /> i <br /> CSLB License Number: O3 65 . <br /> k <br />
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