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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GOLDEN VALLEY
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2900 - Site Mitigation Program
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PR0542125
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COMPLIANCE INFO
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Last modified
6/1/2021 2:01:14 PM
Creation date
6/1/2021 1:50:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0542125
PE
2965
FACILITY_ID
FA0024196
FACILITY_NAME
CONSOLIDATED TREATMENT FACILITY
STREET_NUMBER
0
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
19121008 19122013
CURRENT_STATUS
01
SITE_LOCATION
GOLDEN VALLEY PKWY
P_LOCATION
07
QC Status
Approved
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EHD - Public
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Permission is hereby granted to the City of Lathrop and its representatives to enter in, over and upon owner's land <br />as detailed on Page 1 of this Permit. <br />CITY OF LATH ROP <br />Public Works Director <br />Date: <br />PROPERTY OWNER <br />Sahybrook CLSP, LLC <br />By Saybrook Fund Investors, LLC, its managing <br />member <br />Signature: <br />Name: \itSfr—it-e-y 1NJ L. Scmi <br />Date: <br />Property Address: <br />De Lima Road <br />1. Please list preferred contact method <br />AAA t <br />Lathrop, CA 95330 <br />APN(s): 191-220-13 <br />Telephone: 656 Co 3 2 - r <br />Email460 L-S ta/4@ SAy gi-ooki AM) ADJr3vit- <br />Luey'1/4 <br />Please list any special conditions we should observe while on your property <br />If you have tenants or lessees on the referenced property, please complete the following so that we can notify <br />them prior to field activities: <br />Tenant name(s): Phone: <br />First Name Last Name <br />Tenant mailing address: <br />Street Address <br /> City Zip <br />City of Lathrop, Permit to Enter Page 2
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