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CO0054647 (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO0054647 (2)
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Last modified
3/23/2022 2:33:34 PM
Creation date
3/23/2022 2:28:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054647
PE
2546
FACILITY_NAME
RESIDENTIAL
STREET_NUMBER
3916
STREET_NAME
PINE LAKE
STREET_TYPE
CIR
City
STOCKTON
Zip
95219
APN
11646023
ENTERED_DATE
1/28/2022 12:00:00 AM
SITE_LOCATION
3916 PINE LAKE CIRCLE
RECEIVED_DATE
1/28/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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DATE: February 07, 2022 EHD INSPECTOR FILING REPORT: ELIANNA FLORIDO, REHS <br />V-Ifjtjak.e <br />StrICk.tdn., CA 9S2 -I <br />SAN JOAQUIN <br />cou N 1 Y <br />Environmental Health Department <br />EMERGENCY RESPONSE RECORD <br />January 28, 2022 - 3916 PINE LAKE CIR - C00054647 <br />ER INCIDENT MAP (Include cross streets, structures, waterways, wells, sewer and water lines, septic systems, storm drains, spill area, <br />drums, overturned vehicles, nearby schools, businesses, residences, and/or other sensitive receptors, wind direction, etc., as <br />appropriate.) <br />Page 2 of 2 <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD
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