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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544428
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2019 5:18:43 PM
Creation date
5/6/2019 4:59:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544428
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 /> Environmental Health Department <br /> 1868 E, Hazelton Avenue <br /> Stockton, CA 95205 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> s-t Co <br /> SITE NAME: <br /> ADDRESS: .y 23-- 1y1� r S a S 5; K'A"' <u f r Z v2— <br /> Complete #1 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 /> j <br /> 2. in accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> �f&' 04t �J�nK f�vfZ e Cp`t 1 tjGrKc*f -vT <br /> r¢nc Ae certify I am the sole landowner for the <br /> abo a site. <br /> Sincerely, <br /> Sl' n re Date <br /> Revised 12/15/09 <br /> 1 <br /> ob <br />
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