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COMPLIANCE INFO_2016-PRESENT
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231595
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COMPLIANCE INFO_2016-PRESENT
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Last modified
11/20/2024 8:48:35 AM
Creation date
11/6/2018 9:32:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-PRESENT
RECORD_ID
PR0231595
PE
2361
FACILITY_ID
FA0003591
FACILITY_NAME
JOHN M RISHWAIN
STREET_NUMBER
8203
Direction
E
STREET_NAME
STATE ROUTE 26
City
STOCKTON
Zip
95215-9536
APN
10114021
CURRENT_STATUS
02
SITE_LOCATION
8203 E HWY 26
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 26\8203\PR0231595\COMPLIANCE INFO 2016-PRESENT .PDF
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EHD - Public
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0 <br />INDIVIDUAL ACKNOWLEDGMENT <br />State/CcauaonwEalth of -Anwaa <br />_ ss. <br />County of e`(C�_1` I <br />On this the L f day of <br />me, <br />Public, personally appeared <br />I] <br />2,(:;0'7 before <br />Year <br />the undersigned Notary <br />L7 personally known to me — OR — <br />)Qproved to me on the basis of satisfactory <br />evidence <br />to be the person(s) whose name(sol /are <br />subscribed to the within Instrumi and <br />acknowledged to me that h /s /they <br />executed the same for the purposes therein <br />stated. <br />WITNE y hand and official seal, <br />slgna ure of otary Pp c <br />1104 M Tit D1 11 n -K` (" D <br />eq fired nbnnaeon (Ii Nal"OUTNotiliq. Haiiii) <br />OPTIONAL <br />Although the Information In this section is not required by law, it may prove valuable to <br />persons relying on the document and couidprevent fraudulent removal and reattachment MIMI M, <br />of this form to another document. Top of thumb here <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: �[L_(I U l Number of Pages: I <br />Signer(s) Other Than Named Above: <br />© 2002 National Notary Association • 9350 De Solo Ave., P.O. BoK 2402 • Chatsworth, CA 91313.2402 • vrvrw.natlonalnotary.org <br />Item No, 5936 Reorder: Call Toll -Free i-800 US NOTARY (1-800-876-6827) <br />Order: FSST-TO16000835 Doc: CASANJ:2007 00123009 Page 4 of 8 Created By: tullybob Printed: 3/21/2016 9:46:38 AM PST <br />
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