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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545195
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Last modified
1/23/2020 11:58:15 AM
Creation date
1/23/2020 11:36:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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License Detail [ �' Page 2 of 2 <br /> Effective Date: 01/01/2004 <br /> Contractor's Bonding History <br /> i <br /> BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer'(RMO) COI <br /> ELIZABETH WOODWARD certified that he/she owns 10 percent or more of the voting stoc <br /> of the corporation. A bond of qualifying individual is not required. <br /> Effective Date: 08/16/2004 <br /> * * * Workers Compensation Information <br /> This license has workers compensation insurance with the <br /> STATE COMPENSATION.._INSURANCE.._FUND <br /> Policy Number: 044-0020238 Effective Date: 01/02/2001 Expire Date: 10/01/2005 <br /> Workers Compensation History <br /> Personnel listed on this license (current or disassociated) are listed on other licei <br /> PersonnelList Other Licenses <br /> License Number Request Contractor Name Request Personnel Name Request <br /> Salesperson Request Salesperson.Name Request <br /> ©2004 State of California. Conditions of Use Privacy Poles <br /> i <br /> I <br /> http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 12/1/2004 <br /> t; <br />
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