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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CHRISMAN
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25700
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2900 - Site Mitigation Program
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PR0508450
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Last modified
5/29/2019 11:42:43 AM
Creation date
5/29/2019 11:07:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508450
PE
2960
FACILITY_ID
FA0008087
FACILITY_NAME
DDJC-TRACY
STREET_NUMBER
25700
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25207002
CURRENT_STATUS
01
SITE_LOCATION
25700 CHRISMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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1 <br /> APR— G-94 WED 12 : � P . 03 <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> No.aoo> <br /> State of <br /> County of <br /> On Fr�roSld)q.e Q> /g9hf- before me, 1�_.4r4 f�. m/T/f� G7A2� �nV <br /> NAME,TIME OF OrFICER.EG.,•,UNE OOE,NeiARV W eLIC <br /> personally appeared <br /> NAWWOf SIGNERA <br /> C'personally known to me OR oftatisfamorv-srutdenw <br /> to be the person% whose name04 is/af,& <br /> subscribed to the within instrument and ac- <br /> knowledged to me that he/e4eA4,tey executed <br /> GAIL A. SMITH the same In his/heffthelr authorized <br /> NotaryPul)k capacityffi", ), and that by his/he#theiT <br /> stwislauscwuy,catllarda signatureKon the Instrument theerson <br /> c0ep'NOW.A1994 or the entity upon behalf of which the, <br /> personAacted, executed the instrument. <br /> WITNES my hand and offi I seal. <br /> 9gIN OF NnTAf1V <br /> OPTIONAL <br /> Though the data below is not required by law,it may prove valuable to persons retying on the document and could prevent <br /> fraudulent reattachment of this form. <br /> CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT <br /> ❑ INDIVIDUAL V6rhxr,,- reia7 0�,- ani! <br /> ❑ CORPORATE OFFICER T <br /> mm <br /> �� Z TIT.CS1 TITLE OR TYPE OF DOCUMENT <br /> IJ PARTNER($ ❑ LIMITED <br /> ❑ GENERAL <br /> ❑ ATTORNEY-IN-FACT NUMBER OF PAGES <br /> ❑ TRUSTEE(S) <br /> ❑ GUARDIANICONSERVATOR <br /> ❑ OTHER: <br /> DATE 6FDOCUMENT <br /> SIGNER IS REPREP NG: <br /> L2m SIGNER(S)OTHER THAN NAMED ABOVE <br /> 01893 NATIONAL NOTARY ASSOCIATION•8236 Rammer AVG.,P,O.Box 7184•CAW Park,CA 91308.7184 <br />
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