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SITE INFORMATION AND CORRESPONDENCE FILE 3
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/21/2019 5:29:52 PM
Creation date
6/21/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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AUG 11 2004 5 : 14PM HP - . LRSERJET 3200 p . 3 <br /> Page 2 of 2 <br /> IMPORTANT <br /> If the certificate holler is an ADDITIONAL INSURED, the poltcy(ies) must be endorsed. A statement <br /> on this certificate does not confer rights to the certificate hoider In Ileu of such endomement(s). <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may <br /> require an endorsement. A statement on this certificate does not confer rights to the certificate <br /> holder in Ireu of such endorsement(s), <br /> DISCLAIMER <br /> The Certificate of Insurance on the reverse side of this forth does not constitute a contract between <br /> the Issuing insuregs), authorized representative or producer, and the certificate holder, nor does R <br /> affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thareon. <br />, <br /> r <br /> c <br /> r <br />{r <br />,i ACORD 25S (7/97) Col1 : 1065560 Tp1 : 287965 Cert : 4668091 <br />
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