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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545683
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
5/20/2020 3:18:09 PM
Creation date
5/20/2020 3:06:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545683
PE
3528
FACILITY_ID
FA0005408
FACILITY_NAME
LANGSTON ARCO*
STREET_NUMBER
15615
Direction
E
STREET_NAME
SEVENTH
STREET_TYPE
ST
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
15615 E SEVENTH ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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San Joaquin County <br /> J <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 1. <br /> Subject: CERTIFIED LIST OF RECORD <br /> FEE TITLE OWNERS FOR: <br /> SITE NAME: EL4,,?R o C JCArn.e`i �,,a5�u n <br /> ADDRESS: ! Slot 5 J�evenTh S}raa�� [ u+�rnp <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 /> L, '-t 4 n r.c LS.e I - certify that the following is a <br /> I complete list of current record fee title owners and their mailing addresses for the <br /> above site: rrI � ( <br /> �Q:v�kS � l--G�� >�a-� i C/o 3QnrcR �- FiQItC� � <br /> Iylfo i<<>n—oo �ricic4 , mc— ern C'f1 <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party. <br /> I, certify'l am the sole landowner for the <br /> above site. <br /> Sincere) , 1 <br /> Signature L Dafe <br /> ,Jct..<cR - �r ,cl�`,> r <br /> m4n.� <br /> Rei, ted 12.!15109 <br />
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