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COMPLIANCE INFO_2009-2010
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2009-2010
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Last modified
1/18/2023 11:36:29 AM
Creation date
6/3/2020 9:56:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2010
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_2009-2010.tif
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EHD - Public
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CALIFORNIA JURAT WITH <br />AFFIANT <br />XSee Attached D•cument (Notary to cross out •- • <br />El See Statement Below (Unes; 1-5 to be completed only by document signer[s], not Notary) <br />`'-,'----.�-----------�------ - ___._---� - - --- ----fes------__.� . _ - --- <br />---------- /--------1_F------- --- ..- - -- -- - I - -_- -----------./...... y/. _ - <br />Signature of Document Signer No. 1 <br />State of California <br />County of <br />Place Notary Seal Above <br />Signature of Document Signer No. 2 (11 any) <br />Subscribed and sworn to (or affirmed) before me on this <br />rel <br />Da <br />daY_of '20" <br />Name of Signer <br />proved to me on the basis of satisfactory evidence <br />to be the person who appeared before me <br />(a-nd <br />Name of Signer <br />to� <br />Signature ; ; ` � <br />Si lure of Notary Wublic <br />OPTIONAL <br />Though the information below is not required by law, it may prove <br />valuable to persons relying on the document and could prevent . <br />fraudulent removal and reattachment of this form to another document. 4TORPOumb here Top of thumb here <br />Further Description of Any `Attached Doc%ument <br />Ti'c yr TyfV of UV"Utrieni: 14- 1n- ;7 Ll �i t; 1—\1r � _ <br />41a <br />Document Date: S_�SNumber of Pages: <br />Signer(s) Other Than Named Ab_olve: K) L-,- ) <br />02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • wvmv.NationalNotaryorg Item 45910 Reorder. CaB Toli-Free 1 -SW -870-6827 <br />
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