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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0523611
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/12/2019 9:51:00 AM
Creation date
2/12/2019 9:43:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0523611
PE
2950
FACILITY_ID
FA0015939
FACILITY_NAME
VALLEY WATER TREATMENT
STREET_NUMBER
612
Direction
N
STREET_NAME
BUENA VISTA
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
612 N BUENA VISTA
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of Marin <br /> On 1 —_ - _ before me, Judith L. Flinn, Notary Public <br /> Personally appeared " byj a ,,np i to , ;,����p� <br /> who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) <br /> is ar subscribed to the within instrument and acknowledged to me that he/she/Ei )executed <br /> the same in his/her sir authorized capacity(ies), and that by his/he thei _ ignature(s) on the <br /> instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the <br /> instrument. <br /> I certify under PENALTY OF PERJURY under the <br /> laws of the State of California the foregoing <br /> Paragraph is true and correct. <br /> JUDITH L. FLINN <br /> COMM.#1799333 0 WITNESS my hand and official seal. <br /> NOTARY PUBLIC-CALIFORNIA ;0 <br /> z �p MARIN COUNTY <br /> My Comm.Expires Mey <br /> M7,12012 <br /> j � (Seal) <br /> My commission, Number 1799333, expires May 27h , 2012 <br /> OPTIONAL INFORMATION <br /> DOCUMENT <br /> Title or Type of Document <br /> Date of Document Number of Pages <br /> Other Signer(s) <br /> SIGNER'S CLAIMED CAPACITY <br /> Individual F�Other <br />
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