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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544427
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2019 5:20:12 PM
Creation date
5/6/2019 4:54:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544427
PE
3528
FACILITY_ID
FA0004581
FACILITY_NAME
CHASE CHEVROLET*
STREET_NUMBER
423
Direction
N
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
423 N MADISON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I <br /> San Joaquin County <br /> CnvironmervW Health Deparnllant <br /> s .... J868-Hazelton.Ave - <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED I_IS`i" OF RECORD FEE TITLE OWNERS FOR, <br /> SITE MIAMI✓: <br /> ADDRESS: <br /> Complete 1;=1 if there are i'nultiple 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 /> cel-ilfy that"the following is a <br /> I' addresses for the <br /> - title owners ancl'i:heii mailing <br /> campleie I[S�at c��Eren-c record fee i <br /> above site: <br /> - I <br /> I <br /> 2. In accordance with Section 2529Y.15(a) of Chapter 5.7 of tine Health a°: Safet) Code: <br /> ('t!&?!,{D of <br /> Re gi+�E'E�l � a�iiy: <br /> cerUi7y I am the sale landowner for the <br /> above site. <br /> Sincerely, <br /> ICzfl2'lC!fG- Date <br /> .. i <br />
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