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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0527262
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/9/2020 2:36:16 PM
Creation date
1/9/2020 2:26:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0527262
PE
2950
FACILITY_ID
FA0018463
FACILITY_NAME
SWIFT ROOFING
STREET_NUMBER
1930
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
13336033
CURRENT_STATUS
01
SITE_LOCATION
1930 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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05!25`/2009 10:20 FAX 2098088469- NEW 002 <br /> �IVlav; 22 <br /> .�19aa 5:04PMgaajdy- d GeoEnYI rQament.di No, 5115 <br /> May 12, 200$ - <br /> Un Joaquin County k <br /> Environ"ntal Health Department <br /> 600 E. Main Street <br /> Staokton, CA 95202 <br /> RE; 05RTIFIF-D ITT OF RECORD FEE TITLE;OWNERS FOR: <br /> SITE NAME: Swift Roofing . <br /> ADDRESS: 1930 Frmwut:9ira 4 9teaktun►CA 95203 <br /> Complete#1 if them are multiple alte landovma►a. <br /> CarnplMs 02#you are tho solo alto Iandownar, ' <br /> 1,' In accordance wltilh Beetkfl 25297.15(x)of Chapter 6.7 of the Health&Safety Cade: � <br /> Nam of Primm yr or Anti"Reapons!We Part: <br /> Carri4r� <br /> i, m. cedfy that the follMnq Is e I <br /> completid list of currerft record foe title owlhers and their mailing addresses for theby <br /> ' <br /> a�ovs$ <br /> �irnrlla <br /> a <br /> s <br /> 2. In S=rdenoe with Section 25297.15(x)of Clwpter 6.7 of the Health&Sof*Coder, <br /> Name of Responsible Parte: <br /> I� certify I am the Bale title owner for ftt <br /> _ X <br /> above site. <br /> k <br /> cerely <br /> ,. <br /> signet <br /> i� <br />
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