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2900 - Site Mitigation Program
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PR0517411
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Last modified
7/27/2020 12:51:53 PM
Creation date
7/27/2020 10:53:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0517411
PE
2950
FACILITY_ID
FA0013411
FACILITY_NAME
PAYLESS SHOE STORE
STREET_NUMBER
1160
Direction
W
STREET_NAME
YOSEMITE
City
MANTECA
Zip
95337
APN
21902033
CURRENT_STATUS
01
SITE_LOCATION
1160 W YOSEMITE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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I <br /> t <br /> 3 <br /> { <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> Subject; CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> Former Shell Service Station <br /> I, I <br /> ADDRESS: 1160 W.Yosemite Ave, Manteca, CA <br /> i �. . Complete#1 If there are multiple site landowners. <br />;I Complete 42 if you are the sole site landowner. <br /> I i 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 1, Joe Neely cto Shell Oil Products US 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 /> Brink Helmonds Trust, et al <br /> 110 Wood Rd, # 1-209, Los Gatos, CA 95030 <br /> Thomas and Nancy Wong <br /> I 2806 Victoria Ridge, Pleasanton; CA 94556 <br /> i <br /> t <br /> I 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health&Safety Code: <br /> i Name of Responsible Party: <br /> I, certify I am the sole landowner for the <br /> i above site. <br /> l <br /> Sincerely, <br /> 16-Dec-2011 <br /> 1 Signature Date <br /> { Revised 12125/09 - <br /> c <br /> r <br />
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