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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CENTER
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205
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3500 - Local Oversight Program
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PR0544173
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SITE HISTORY
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Entry Properties
Last modified
2/25/2019 1:24:43 PM
Creation date
2/25/2019 10:29:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
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
Scanner
WNg
Tags
EHD - Public
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I t <br />i 1 <br />9092G�� <br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />.i <br />State of California <br />:i <br />r <br />County of ss. <br />i <br />0n , before me, G c <br />I` Date Na a nd Tine of Officer (e.g., 'J a Ooe, Notary <br />F i personally appeare_"6111CA7. �� <br />d <br />nally known to me <br />( to be he person(s) whose nameis pyre <br />subscribed to the within instrument and <br />i acknow edged to me thate/they executed <br />y the same in �1 their authorized <br />RAY RIDDLE capacit les), and that by trltheir <br />IhKIM Commission # 11 97M signature(s) on the instrument the person(s), or <br />z Notary i'ubltc'Coirfcrmiim I the enti y upon behalf of which the person(s) <br />nge (, ty <br />MyCamm Bow�t.21= acted, Executed the instrument. <br />!( <br />( WITNE S my hand and official seal. <br />Place Notary Seal Above � Signature of Notary Public <br />OPTIONAL <br />:l (' 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 <br />Title or Type of Document: <br />i Document Date: Number of Pages: <br />€t <br />i Signer(s) Other Than Named Above: <br />i( <br />y ( Capacity(ies) Claimed by Signer <br />i ( Signer's Name: <br />❑ Individual ' <br />Top of thumb here <br />( ❑ Corporate Officer — Title(s): <br />E ❑ Partner --- ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee _ <br />�r ❑ Guardian or Conservator <br />0 Other: <br />I( <br />y ( Signer Is Representing: <br />C 1997 National Notary Association • 9350 Oe Soto Ave., P.O. Box 2402 Chatsworth, CA 91313.2 2 Prod. No. 5907 Reorder. Call Toll -Free 1-800-878-6827 <br />D OIC164 J <br />
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