My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CHURCH
>
230
>
3500 - Local Oversight Program
>
PR0544508
>
SITE INFORMATION AND CORRESPONDENCE
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/31/2019 2:12:41 PM
Creation date
5/31/2019 1:58:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544508
PE
3528
FACILITY_ID
FA0004718
FACILITY_NAME
CAINS ELECTRIC WORKS
STREET_NUMBER
230
Direction
N
STREET_NAME
CHURCH
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
230 N CHURCH ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
87
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
UST CLAIM APPLICATION <br /> INSTRUCTIONS FOR PAGE TWELVE I <br /> XIII. CERTIFICATIONS AND AGREEMENTS _ ! <br /> It is exceptionally important that the claimant, including all joint claimants, carefully read and fully understand <br /> all statements and declarations contained in this section. If the claimant has knowledge of any statement or <br /> declaration in this section being untrue, the claimant may not file a c(iaim against the Fund. <br /> i I { <br /> I <br /> 1 <br /> 7 <br /> f <br /> I <br /> A <br /> 1 <br /> 1 <br /> 1 <br /> li E <br /> i <br /> I � <br /> 'I <br /> 1 <br /> i <br /> 1 <br /> 1 <br /> I <br /> } <br /> I � <br /> i <br />
The URL can be used to link to this page
Your browser does not support the video tag.