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FIELD DOCUMENTS_CASE 2 FILE 2
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PR0506313
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FIELD DOCUMENTS_CASE 2 FILE 2
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Last modified
3/9/2020 7:39:58 PM
Creation date
3/9/2020 8:51:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 2 FILE 2
RECORD_ID
PR0506313
PE
2950
FACILITY_ID
FA0000514
FACILITY_NAME
MAIN STREET SHELL*
STREET_NUMBER
1071
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21707011
CURRENT_STATUS
02
SITE_LOCATION
1071 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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License Detail Page 2 of 2 <br /> WESTERN SURETY COMPANY. <br /> Effective Date: 01/01/2004 <br /> Contractor's Bonding History_ <br /> BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) J, <br /> MICHAEL GREGG certified that he/she owns 10 percent or more of the voting stock/equit <br /> corporation. A bond of qualifying individual is not required. <br /> Effective Date: 03/05/1993 <br /> B I's Bonding History <br /> * * * Workers Compensation Information <br /> This license has workers compensation insurance with the <br /> SEA BRIGHT INSURANCE COMPANY <br /> Policy Number: BB1050261 Effective Date: 08/01/2005 Expire Date: 08/01/2006 <br /> : <br /> Workers Compensation Hist <br /> :k <br /> 4: Personnel listed on this license (current or disassociated) are listed on other licei <br /> Personnel List Other Licenses <br /> License Number Request Contractor Name Request Personnel Name Request <br /> Salesperson Request- Salesperson Name Request <br /> ©2006 State of California.Conditions of Use Privacy Policv <br /> i <br /> 4 <br /> I <br /> w <br /> http//www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 2/21/2006 <br />
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