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ARCHIVED REPORTS_PUMP RPTS 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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R
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ROTH
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865
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4200 – Liquid Waste Program
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PR0541413
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ARCHIVED REPORTS_PUMP RPTS 2018
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Entry Properties
Last modified
12/3/2020 3:24:14 PM
Creation date
8/5/2020 10:09:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
PUMP RPTS 2018
RECORD_ID
PR0541413
PE
4244
FACILITY_ID
FA0023730
FACILITY_NAME
AAA SEPTIC INC
STREET_NUMBER
865
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19332016
CURRENT_STATUS
01
SITE_LOCATION
865 ROTH RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\R\ROTH\865\PR0541413\PUMP RPTS 2018.PDF
Tags
EHD - Public
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V <br /> I <br /> t fdr the month of <br /> septic Tactic and CespooE S�� �� f9fTC �/'} • <br /> P4 Po Box 2�(445 tL Sart loaf In S�} Ckwwrs Report <br /> P4 Stocifto,C omt%952M -Address 105 1 <br /> Fars 464DM <br /> Must be submitted by the le of each <br /> crionth <br /> Date! Name of graperiy oar Address where wark was <br /> putmved <br /> type waste d site <br /> Z e i� u <br /> CD is <br /> rn <br /> CO <br /> �etY i i t 7 f i 0 <br /> o tt U <br /> CN <br /> LL tt <br /> ELI— <br /> �t <br /> H C Y f <br /> ` <br /> It <br /> l <br /> v � L <br /> TIP <br /> J 1 U ` <br /> i• <br /> V1 Je4j S Llwho cars iegaly bind the <br /> Ln ft C de of rat <br /> Sec�on` Mug be stried by.; the fo&wvit�ex>M <br /> corrtpa�t ' <br /> under my direction or supembkm <br /> I certEty under perta�Y of 13w that Ok dement and as atta bvnents were W"ared <br /> Li <br /> RECEIVED <br /> jUN 0 4 2018 <br /> h ENVIRONMENTAL HEITd� <br /> ■ ■ ■ '■ ■ PERMIT/SEROCES <br /> �■ iii■ <br />
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