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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545273
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
2/3/2020 12:18:49 PM
Creation date
2/3/2020 11:05:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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OV;2 4 2009 <br /> ENVIRON ENT HEALTH <br /> PERMIT/:VERVICES <br /> San Joaquin County <br /> Environmental Health::Department <br /> 600 E Main Street <br /> Stockton, CA 95202 <br /> RE: CERTIFIER LIST OF RECORFEE TITLEOWNERS HERS FC R. <br /> .SITE NAME: �f <br /> ADDRESSN <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 the Health & Safety Codec <br /> Name of Ptimaryw Active Responsible Party. <br /> py certify that the fbilom ing is a <br /> c o plete list ctf current recr�rd fee title>owners and their mailing addresses fcrrthe <br /> above site: <br /> +t <br /> a cx <br /> 4,44- <br /> .2... In accordancewith Section 25297,15(a)of Chapter 6.7 of the Health &Safety Codec <br /> cf . <br /> !Name Ftespc►nslble Party:; <br /> !, certify I;am the sale title owner for thw <br /> above site. <br /> Sincerely; <br /> Si re <br /> 1 <br />
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