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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545438
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/9/2020 4:31:40 PM
Creation date
3/9/2020 1:19:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545438
PE
3528
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
02
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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RECENE-0 <br /> 8 2007 <br /> ENVIRON10ENT HEALTH <br /> PEWIT/�ERI�tCES <br /> San Joaquin County Environmental Health. Department; ^; <br /> 304 E. Weber Avenue, Third, Floor <br /> Stockton, CA 95202 <br /> RE: CERTIFIED LIST OF RECORD,FEE TITLE OWNERS. FOR: <br /> SITE NAME:_ Quick Stop Market #121 <br /> ADDRESS:. 1196 Louise .Avenue,' Manteca, CA 95336. <br /> Complete#1 if there are multiple. site landowners.. <br /> Complete#2 if you are the sole siteJandowner <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the-Health & Safety Code: <br /> Name of. Primary or Active Responsible Party: <br /> I, 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 /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code:. <br /> Name.of Responsible Party: <br /> - ------ h--George"yama.shita, as Trustee, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> 4 e — <br /> Sign ture <br />
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