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2900 - Site Mitigation Program
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PR0541779
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Entry Properties
Last modified
1/29/2020 10:47:05 AM
Creation date
1/27/2020 2:12:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0541779
PE
2960
FACILITY_ID
FA0023952
FACILITY_NAME
UNOCAL
STREET_NUMBER
4707
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816004
CURRENT_STATUS
01
SITE_LOCATION
4707 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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CA-LII;OR IA DRIVER LICENSt <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> State of California <br /> Division of Occupational Safety and Health <br /> 1367 E.Lassen Ave.,Suite B-4 <br /> Chico,CA 95973 (530)895.6938 <br /> No.9201 <br /> TYLOR JOE WILLIAM MCMILLAb.O.B 6/12/82 <br /> is hereby certified/licensed as a BLASTER <br /> Classification: (E) LIMITED: WELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Limitation: NONELECTRIC INITIATION ONLY <br /> This certification or license may be suspended or revoked if the holder <br /> violates the safe rders r regulations of the Division. <br /> Expires-4/05/21 <br /> gnatu 4l Holder <br /> ate of 4/05/16 <br /> Issued Jonn LeamprT Issue <br /> OSP 1 8563 Rev 2012 <br />
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