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SU0006201
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PA-0600434
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SU0006201
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Entry Properties
Last modified
12/17/2019 1:35:17 PM
Creation date
9/6/2019 10:18:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006201
PE
2620
FACILITY_NAME
PA-0600434
STREET_NUMBER
22801
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
ENTERED_DATE
8/16/2006 12:00:00 AM
SITE_LOCATION
22801 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
8/15/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\22801\PA-0600434\SU0006201\CDD OK.PDF
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EHD - Public
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of Alameda <br /> On D O before me, Q�On fNfX r <br /> OA E N E,TITLE OF OFFICER" <br /> personally appeared I I B� <br /> NAMES) OF SIGNER(S) <br /> Personally]mown to me OR ❑ proved to me on the basis of satisfactory evidence to be <br /> the person(s) whose name(s) is/are subscribed to the <br /> within instrument and acknowledge to me that <br /> TS1,I)A7ROMLAFFEY WARD he/she/they executed the same in his/her/their authorized <br /> 3267 c capacity(ies), and that by his/her/their signature(s) on <br /> ALIFORNIAthe instrument the peison(s), or the entity upon behalf of <br /> MEDA v z21,2009 which the person(s)acted, executed the instrument. <br /> WJTA!SS my hand and fi 1 seal <br /> N ' <br /> OPTIONAL <br /> Though the data below is not required by law,it may prove valuable to persons Telying on the document and <br /> could prevent fraudulent reattachment of this form. <br /> CAPACITY CLAIMED BY SIGNED DESCRIPTION OF ATTACHED DOCUMENT <br /> ❑ INDIVIDUAL <br /> ❑ CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT <br /> TITLE(S) <br /> ❑ PARTNER(S) ❑ LIMITED <br /> ❑ GENERAL NUMBER OF PAGES <br /> ❑ ATTORNEY-IN-FACT <br /> ❑ TRUSTEE(S) DATEOFDOCUMENT <br /> ❑ GUARDIAN/CONSERVATOR <br /> ❑ OTHER: <br /> SIGNER(S)OTFIeR TIMN NAMED ABOVE <br /> SIGNER IS REPRESENTING: <br />
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