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3500 - Local Oversight Program
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PR0544173
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/25/2019 2:04:59 PM
Creation date
2/25/2019 10:25:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544173
PE
3528
FACILITY_ID
FA0003613
FACILITY_NAME
ARCO STATION #4493*
STREET_NUMBER
205
Direction
N
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13909003
CURRENT_STATUS
02
SITE_LOCATION
205 N CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r <br /> •Z` <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of :5 o, a on e n to ss. <br /> On t ) U ► U Z , before me, e t I - * e� ! , <br /> Dale Name a Title of Officer(e.g.,'Jane Doe Notary Public) <br /> personally appeared Ja r?') e- 5 <br /> am of Signer(s) <br /> i personally known to me <br /> i ❑ proved to me on the basis of satisfactory <br /> BErrYJ•ENGLE evidence <br /> Commission a 1322631 <br /> !Votary Public-California <br /> I <br /> Sacramento County <br /> amy <br /> to be .the persons) whose name(s) is/are <br /> Comm.Expires Sep 29.2006 subscribed to the within instrument and <br /> ( Ponacknowledged to me that helshelthey executed <br /> the same in his/her/their authorized <br /> capacity(ies), and that by his/her/their <br /> signature(s)on the instrument the person(s), or <br /> I` the entity upon behalf of which the person(s) <br /> acted, executed the instrument. <br /> i <br /> WITNE my hand and official seal. <br /> Place Notary Seal Above ig re of Notary Public <br /> I <br /> OPTI NAL <br /> i Though the information below is not required by law, it may prove valuable to persons relying on the document <br /> and could prevent fraudulent removal and reattachment of this form to another document. <br /> Description of Attached Document G ti <br /> r Title or Type of Document: <br /> I <br /> Document Date: I t ) t 16 r Number of Pages: <br /> Signer(s) Other Than Named Above: �txv,--, <br /> Capacity(ies) Claimed by Signer �- <br /> Signer's Name: <br /> Individual <br /> � Top of thumb here <br /> ❑ Corporate Officer—Title(s): <br /> I ❑ Partner—❑ limited ❑ General . <br /> ❑ Attorney in Fact <br /> I` ❑ Trustee <br /> i� <br /> ❑ Guardian or Conservator <br /> ❑ Other: -c <br /> Signer Is Representing: <br /> f <br /> ®1999 National NaaryAssaoialicn•9350[*Sow A, �I�III�II��II 'ree 7-500-B75-5827 <br />
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