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SR0084032
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084032
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Last modified
9/13/2021 7:41:16 AM
Creation date
9/9/2021 3:15:13 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084032
PE
4202
STREET_NUMBER
10064
Direction
N
STREET_NAME
FREESIA
STREET_TYPE
AVE
City
STOCKTON
Zip
95212
APN
08605408
ENTERED_DATE
8/5/2021 12:00:00 AM
SITE_LOCATION
10064 N FREESIA AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.secehd.com/index.html <br />Facility Address: s,�y� <br />CONTINUATION FORM Page: —of <br />OFFICIAL INSPECTION REPORT Dates &u.0 12 <br />Program: <br />ALL EHD STAFF TIME ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspect <br />l <br />\/�Vt�� <br />ived By: <br />— - -- <br />Title: <br />w <br />EHD 23-02-003 Rev 04/02/14 <br />QMEIUW <br />CONTINUATION FORM <br />
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