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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EL DORADO
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2057
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2900 - Site Mitigation Program
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PR0542365
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COMPLIANCE INFO
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Last modified
6/1/2021 5:13:46 PM
Creation date
6/1/2021 4:25:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0542365
PE
2960
FACILITY_ID
FA0024341
FACILITY_NAME
FORMER QUICK-N-SAVE #2
STREET_NUMBER
2057
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16515309
CURRENT_STATUS
01
SITE_LOCATION
2057 S EL DORADO ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\dsedra
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EHD - Public
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ATTACHMENT A <br />PERSONAL ACKNOWLEDGMENT <br />You are required to read and understand this Health and Safety Plan before you begin work activities at this <br />project site. When you have fulfilled these requirements, please sign and date this personal acknowledgment. <br />Project Manger Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />Name (Print) Signature Date Cell Phone # <br />BP Arco # HASP <br />Template Version: 02.02 <br />Created by: Scott Bittinger Revised by: Evan Lee Fau <br />Created on: 10/02/2017 Revision date:10/30/2017
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