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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0091911
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COMPLIANCE INFO
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Entry Properties
Last modified
5/19/2021 6:45:20 PM
Creation date
5/19/2021 4:32:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0091911
PE
2950
FACILITY_ID
FA0004088
FACILITY_NAME
JOE BRYSON HEATING AND A/C
STREET_NUMBER
907
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15133505
CURRENT_STATUS
02
SITE_LOCATION
907 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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111?YSUN I EL Pio . )U9 lbil (5/19 Vec . 21 ,y'? 1/1 : 59 P .02 <br /> ----------- <br /> 12,21 .82 ]2: 17 la)Io JDO iuloS.ACKAill 1?N'1'0 - _-- F6 <br /> SITE MITIGATION ACKNOWLfiDGMENT/REOVEST FOR ti Vt, 6 ORM <br /> 111E INFORMATION6AN JOAQUIN COUNTY • PUBLIC HEALTH ECRM WENVIRONME <br /> THf.R I FAD ►Gf.kf.Y <br /> ITE mmt r— // AOENCY CONTACT <br /> PHONE <br /> URcE6 ` APH N <br /> v� �. GrJ,�soK why <br /> I 1 T Io <br /> k ro <br /> 111,00 / RESPONSIBLE PARTY INfOR11AT1ON <br /> AMe Jc]lr (Sn foV //G/1T%/✓ /FMO i1 t�c,v / e.�.w. <br /> ILINGADDRESS p � j, ��C34v T�/h <br /> ITT 'S %OC 4 T0iTATE [./4 �lp 9s.� O <br /> oNTACT NAtiC /�• .Joe v^xs-- as. 0op 9s//- .265% <br /> PROPERT'f OWNER/OPERATOR <br /> :ANE HOME <br /> ORES$ <br /> ITr TATE IP <br /> GIIfiNI INFUNrlATION (If DIFfEKENI tKL]M WNEK/UI'LWATOR) <br /> AME NOME <br /> �DRCSS <br /> ITY TATE IP <br /> AUTHORIJATION 10 RELEASE/BILLING ACKNOWLEDGEMENT <br /> 1, THE UNDERSIGNED OWNER, OPERATOR, CLIENT, OR ACENT OF SANE, OF INS PROPCRTY LOCATiO AT THE ABOVE i1TE ADDRESS IIEREBY <br /> AVIMUKILC lilt ktLtAbL Uf ANT ANU ALL ANALTIILAL kt4UL15, GSUILLMNIIAL VAIA AND/UN tNVIKUNMLNIAL/SITE A55t55MLNT IHfUKMAIIUII IU <br /> SAM JOAOUIM CCIINTY PUBLIC Hf-AI.TH SERVICES, ENVIRONMENTAL HEALTH DIVISION AS SOON AS IT IS AVAILABLE AND AT T11E SAMTIME IT IS <br /> PROVIUEU TU ME OR MT HLFjt6EN1ATIVE, <br /> ADDITIONALLY, 1, 1HE UNDERSIGNED OUNER, OPERATOR, CLIENT, OR AGENT OF SANE, ACKNOULEDCE.THAT ALL SITE AHD/OR PROJECT SPECIFIC <br /> FnS/EMU HWRLT CNA96E5 ASSOCIATED WITH TM15 ACIIYITT WILL BE BILLEU TO THE YAkTT IOENTIfILV AUOVE AS int "KEST'UNSIBLE VARY". <br /> APPLIUANT'S NAHL, TITLL, U1GNATUKt/UAIt <br /> ,IGNATURE i :� .. ATF. /,1-/a//f2 <br /> OMPANY U(cC 4L TITLE P(QSic>'P/n ` <br /> ~ PAGE ONC Of TWO <br /> 99•007(IV)12/9081LTRMI2 <br /> ui 27 01 1/0) , fto , <br />
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