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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0517411
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/27/2020 2:07:35 PM
Creation date
7/27/2020 10:54:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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a <br /> qN <br /> I <br /> i <br /> S ' <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E- Main Street <br /> € Stockton, CA 9.5202 <br /> Subject; CERTIFIED LIST"OF RECORD FEE TITLE OWNERS FOR: <br /> i Former Shell Service Station <br /> i SITE NAME: <br /> ADDRESS: 1160 W. Yosemite Ave, Manteca, CA � <br /> Complete#1 If there are multiple site landowners:° . <br /> Complete 42 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 kesponsitile Party: <br /> 1, Joe Neely c/o Shell Oil Products US certify that the following is a I' <br /> complete list of current record fee title owners and thele 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 Won <br /> 2806 Victoria Ridge, Pleasanton, CA 94556 <br /> I <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.76f the Health &Safety Code: <br /> Name of Responsible Party: <br /> I, certify I am fhe sole landowner for the <br /> above site. <br /> Sincerely, <br /> 16-Dee-2011 <br /> Signature Date <br /> Revised 72;75109 <br />
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