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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0541650
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/11/2020 8:17:58 PM
Creation date
3/11/2020 2:34:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Pa 0591 <br /> ity <br /> ,alth Department <br /> 1868 HaLc,._ re <br /> Stockton, CA 95205-6232 <br /> rq Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> J��\�yyyy �p Former USA Service Station No. 110 <br /> Illy SITE NAME: 2132 East Mariposa Road,Stockton, CA <br /> ADDRESS; <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 Code: <br /> Name of Primary or Active Responsible Party: <br /> Moller Investment Group, Inc. 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 /> Tesoro Sierra Properties, LLC <br /> 3450 South 344th Way, Suite 201 <br /> Auburn,Washington 98001-5931 <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health & Safety Code: <br /> Name of Responsible Party: <br /> certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> � � Z313 <br /> Date <br /> Signature <br />
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