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INSTALL_2014 B100
EnvironmentalHealth
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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INSTALL_2014 B100
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Last modified
8/11/2021 11:07:34 AM
Creation date
11/5/2018 3:05:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2014 B100
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\1501\PR0505264\INSTALL FILE B100 2014.PDF
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EHD - Public
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L+11VV1�Ci LlV4AiJ4 L144i174 114v«'5,w.=-.�- 1.+V11UC14LVl[a 4 WLV, 1.i(VG1i.7G"VdIUI"itgC G [31 <br /> ?' <br /> L <br /> Is_ <br /> The Responsible Managing Officer(RMO)COVEY BRET CHRISTOPHER certified <br /> that he/she owns 10 percent or more of the voting stock/equity of the corporation.A <br /> bond ofdY n9 <br /> al' i <br /> s n <br /> u individual i <br /> q <br /> at required. <br /> it <br /> Effective Date:08/16/2005 <br /> Bgl's Bond History <br /> WORKERS'COMPENSATION <br /> This license has workers compensation insurance with <br /> GRANITE STATE INSURANCE C MPANY <br /> Workers!compensation <br /> Policy Number:WC9970790 <br /> Effective Date:02/01/2012 <br /> Expire Date:02101/2014 <br /> nstion History <br /> Workers'Compea <br /> .,,,,,,,,,_ <br /> Personnel fisted on this license(current or disassociated)are listed on other licenses. <br /> Personnel List Other Utenses <br /> Conditions of Use Privacy Policy <br /> Copyright*2010 State of California <br /> https://wtvw2.cslb.ca.gov/OnlineServices/ChecI Licensell/LicenseDetail.aspx?LicNum=$... 11/14/2013 <br />
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