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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545028
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FIELD DOCUMENTS_FILE 2
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Last modified
12/6/2019 5:08:09 PM
Creation date
12/6/2019 2:54:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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OCT.18.2005 9:50AM APEEXJENVIROTECH,INC. NO.819-P.11 ' '- <br /> V <br /> CALIFORNIA ALL-PURPOSE ACKNOWLECIGMENT <br /> State of CALIFORNIA <br /> County of ORANGE <br /> On_FEBRUARY 24, 2005 T� before me CHERYL ZIERKE NOTARY PUBLIC <br /> personally appeared PATRICIA M. WHITE <br /> personally known to me -OR- ❑ proved to me on the basis of satisfactory evidence <br /> the person(e)whose name(a) jS/affsubscribed to <br /> the within instrument and acknowledg o me that <br /> CHERYL zlE12KE h sh ey executed the same in hjt it <br /> rA4, CommkNon*1525720 aulwrized capacity(ies), and that by hi her air <br /> No>lory Public-Calltomla signatursKon the instrument the person , or the <br /> Orono county entity upon behalf of which thearson <br /> Iyycornm,Dow Oct31,200e executed the instrument. p (s)oacted, <br /> WITNESS hand and official seal. <br /> Notary Public Seal <br /> GNATURE OF NOTARY <br /> Though the data below is not regyjrad by law,It ma OPTIONAL <br /> Y Prove valuable to pe one relying on the dooumen#and o0yld prevent fraudulent reattachment of this fob, <br /> DESCRIPTION OF ATTACHED DOCUMENT: <br /> TITLE OR TYPE OF DOCUMENT: BOND <br /> DOCUMENT DATE: FEBRUARY 24 2005 <br /> CAPACITY(IES)CLAIMED BY SIGNER(S) <br /> Signer's Name: eATRICIA M.WHITE-- Signer's Name_NIA_. <br /> ❑INDIVIDUAL <br /> ❑CORPORATE OFFICER ❑INDIVIDUAL <br /> Tltie(s) ❑CORPORATE OFFICER <br /> Titles) <br /> ❑ PARTNER(S)❑LIMITED ❑ GENERAL ❑ PARTNER(S)❑LIMITED �)----7) <br /> ATTORNEY-IN-FACT L.J❑ Y-IGENERAL,ATTORNEN-l;ACT <br /> ❑ TRUSTEE(S) TRUSTEE(S) <br /> ❑ GUARDIAN/CONSERVATOR ❑ GUARDIAWCONSERVATOR <br /> ❑ OTHERS <br /> ❑ OTHER: <br /> Signer is representing; Signer is representing: <br /> NAME OF PERSONS)OR EN7"Y(les) <br /> �QNTRACTORG RANninir_eN INSURANCE COMPOtiN NAME OF PERSONS)OR ENTI7Y(IES) <br />
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