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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545252
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
1/31/2020 12:23:37 PM
Creation date
1/31/2020 10:55:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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� � J <br /> vi <br /> LSan 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: O„u 3-op <br /> ADDRESS: eA:: 4'f 9 I <br /> t <br /> Complete #1.if.there are multiple site landowners_ . <br /> Complete #2 if,you ar he sole site 15ndowner: ` <br /> j <br /> 1. In accordance with.Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primaryor Active Responsible Party: <br /> b " certify that the following is a. <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> 1 I <br /> t+ Faar <br /> �rt <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> 1,' p��CFh A1!/Es�nrEti/ certif` I'am the'soI— itle owner for the <br /> _" . y i <br /> above site. <br /> Sincerely, <br /> Sigpdfure /Gft9t� <br /> } <br />
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