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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545246
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
1/30/2020 4:05:50 PM
Creation date
1/30/2020 1:53:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Tags
EHD - Public
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001361 <br /> d <br /> �1 <br /> San Joaquin County ' <br /> Environmental Health Department <br /> 600 E Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR. <br /> SITE NAME: F l " T v 10((_� C oRpof-ATRJ N t <br /> ADDRESS: Glc)6A) 9 T2_0 <br /> Complete #1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner.. <br /> 1 In accordance with Section 25297 15(a) of Chapter 6 7,of they Health & Safety Code <br /> Name of Primary or Active Responsible Party: <br /> ' <br /> certi, <br /> �fy that.the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site. <br /> So q 04)1 <br /> W( 6/C) <br /> Q 1 Yet" <br /> I <br /> ii <br /> 2 In accordance with Section 25297 15(a) of Chapter 6 7 of the,Health &Safety Code- <br /> Name of Responsible Party: <br /> I, certify I am the sole title owner for the <br /> above site <br /> Sincerely, i <br /> 1 <br /> Signature <br /> ©'�L Cop-OpfTiau � <br /> Com, <br />
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