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SR0085013_SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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SR0085013_SSCRPT
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Last modified
4/20/2022 12:23:06 PM
Creation date
4/20/2022 12:02:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0085013
PE
2603
FACILITY_NAME
15780 N CLEMENTS RD
STREET_NUMBER
15780
Direction
N
STREET_NAME
CLEMENTS
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05319001
ENTERED_DATE
3/16/2022 12:00:00 AM
SITE_LOCATION
15780 N CLEMENTS RD
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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CAA <br />DILLON & MURPHY <br />E N G I N E E R I N G <br />847 N. Cluff Avenue, Suite A-2 <br />P.O. Box 2180 <br />Lodi, California 95241 <br />(209) 334-6613 • FAX (209) 334-0723 <br />TO SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />WE ARE SENDING YOU <br />Attached <br />❑ Shop drawings <br />❑ Copy of Letter <br />LETTER OF TRANSMITTAL <br />DATE 03/16/22 JOB NO 2237 <br />ATTENTION <br />RE APN 053-190-01 <br />via 0 <br />Delivery ❑ Mail <br />❑ <br />Overnight Delivery ❑ Pick up ❑ FED EX <br />❑ <br />Prints ❑ Plans <br />❑ <br />Samples ❑ Specifications <br />❑ <br />Change Orders <br />❑ <br />Email <br />COPIES DATE NO, DESCRIPTION <br />1 Surface Subsurface Contamination Report <br />1 Service Request Form (Golden Rod) <br />1 Submittal Fee of $304 (Check No. 2366) <br />THESE ARE TRANSMITTED as checked below: <br />D For approval ❑ Approved as submitted <br />0 For your use ❑ Approved as noted <br />❑ As requested ❑ Returned for corrections <br />❑ For review and comment ❑ <br />❑ FOR BIDS DUE , 2022 <br />Remarks: <br />❑ Resubmit copies for approval <br />❑ Submit copies for distribution <br />❑ Return corrected prints <br />❑ PRINTS RETURNED AFTER LOAN TO US <br />COPY TO <br />SIGNED: James Selke <br />
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