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FIELD DOCUMENTS_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6131
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3500 - Local Oversight Program
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PR0545003
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FIELD DOCUMENTS_FILE 1
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Last modified
11/27/2019 11:02:10 AM
Creation date
11/27/2019 10:54:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Contact lig License Number 938110 Extract Date 1/132014 <br /> _ <br /> .._.._...._._.._..._.._.._.._..._..._..__._.... CASCADE ORLLING L P <br /> e.nf on,State License Board <br /> 9821 euNnas.P.*On" Bualaeaa IMormatlon Business Phone Numtxc(425)485-8908 <br /> Sacramento,CA 95827 <br /> Phone(800)321-CSLe P 0 BOX 1184 <br /> 'NOODINVILLE.*A 98072 <br /> Entity Partnership <br /> Issue Date 09242009ExpireDale 094302915 <br /> License Status ACTIVE <br /> This license is current and active.All information below should be reviewed. <br /> Classifications <br /> t.57 :'.'ELL DRILLING,s"-TER <br /> This license filed a Contractors Bond with <br /> WESTCHESTER FIRE INSURANCE CONIPANY. <br /> Bond Number:K08315450 <br /> Bond Amount.572,500 <br /> Effective Date:0911312013 <br /> Bonding Contractors Bond Histor; <br /> BOND OF <br /> 1. This license filed Bond of Qualifying Individual number K0831567A for WINGLEWICH DONALD <br /> LEE in the amount of$12,500 with WESTCHESTER FIRE INSURANCE COMPANY. <br /> Effective Date:101252013 <br /> BQI's Bond History <br /> WORKERS'COPA PEN SAT ION <br /> This license has workers Compensation Insurance with <br /> ALASKA rIATIONFL INSURANCE CO <br /> Workers'Compensation Policy Number 12JW030531 <br /> Effective Date:1010212012 <br /> Expire Date:10/02/2014 <br /> iNur4:isConwen satlon History <br /> F—F—F—F—��SIntam.t SeNIDO% - Iz <br /> Monday,Jan 13,2014 03:55 PM <br />
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