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BENJAMIN HOLT
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3500 - Local Oversight Program
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PR0544111
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/7/2019 12:29:29 PM
Creation date
2/7/2019 10:28:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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P <br /> i <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: 51-A —ZI / <br /> ADDRESS: 1q09 Gw, L36-'VzW'04 'Yyf-r A9424vf 5SZZZI i-/ oiSZ07 <br /> Complete41 if there are multiple site landowners. <br /> Complete #2 if you are the sole site landowner. <br /> 1. In accordance with Section.25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> I, certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> - ---above-site:- <br /> 2. <br /> – above-site:2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible.Party: <br /> 1, 4,4WlLAr(W dJ7 ,1�4' certify I am the sole landowner for the <br /> above.site. <br /> Sincerely, <br /> ,1 <br /> Signature Date <br /> Revised 12/15/09 - <br /> I <br />
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