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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0508009
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/20/2019 1:58:26 PM
Creation date
5/20/2019 1:40:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0508009
PE
2957
FACILITY_ID
FA0007882
FACILITY_NAME
ARCO #760
STREET_NUMBER
225
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04314058
CURRENT_STATUS
01
SITE_LOCATION
225 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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License Detail • Page 2 of 2 <br /> Effective Date: 01/01/2004 <br /> Contractor's Bonding History <br /> BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) KEP <br /> BRYAN COOK certified that he/she owns 10 percent or more of the voting stock/equity <br /> corporation. A bond of qualifying individual is not required. <br /> Effective Date: 07/18/2002 <br /> * * * Workers Compensation Information <br /> This license has workers compensation insurance with the <br /> X L SPECIALTY-INSURANCE COMPANY (3236-7) <br /> Policy Number: WEC000014904 Effective Date: 01/01/2004 Expire Date: 01/01/200 <br /> Workers Compensation History/ <br /> Personnel listed on this license (current or disassociated) are listed on other licel <br /> Personnel List Other Licenses <br /> License Number Request Contractor Name Request Personnel Name Request <br /> Salesperson Request Salesperson Name.Request <br /> ©2004 State of California. Conditions of Use Privacy Policy <br /> R T.TRRARY/License+Detail.asp?LicNum=810704 8/11/2004 <br />
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