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WP0043334
Environmental Health - Public
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2835
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043334
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Last modified
9/16/2022 11:02:20 AM
Creation date
9/16/2022 10:43:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043334
PE
4372
STREET_NUMBER
2835
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95206-
APN
14502007
ENTERED_DATE
5/25/2022 12:00:00 AM
SITE_LOCATION
2835 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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WITNESS MY HAND this 2-6 day of <br />Print Name <br />Print Name <br />Contact Information: <br />DACW05-8-22-0026 <br />1'4f ' 1 .2022. <br />Signature <br />Signature <br />C�lort A k -Z— <br />Nam <br />Telep ne <br />Mailing address <br />Rj (DO ate,. }o �) ' 00 �► <br />Best time to be reached. <br />UNITED STATES OF AMERICA <br />2022.04.28 <br />12:53:38 -07'00' <br />Adam B. Olson Date <br />Chief, Real Estate <br />Real Estate Contracting Officer <br />
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