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WP0039722
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039722
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Entry Properties
Last modified
7/29/2020 4:00:42 PM
Creation date
7/29/2020 2:53:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039722
PE
4373
STREET_NUMBER
154
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
20014010
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
154 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CALIFORNIA. DRIVER LICENSE <br /> Cm Ss c <br /> 08112/2021 E,7D NONE <br /> MCMILLAN <br /> TYLOR JOE WILLIAM <br /> 12;02 ANDES AVE <br /> BAKERSIRELD,CA 93312 <br /> Dos 06/12/1982 <br /> P.STR NONE 06121982 <br /> �1, t <br /> SEX M `-;AIR BRN PrES SLu <br /> HGT V-01" VYGT 2251b S <br /> DD 05;1=0%G$G0VCCFD21 0511012016 <br /> Stale of California <br /> Division of Occupational Safety and Health <br /> 1367 E.Lassen Ave.,Suite 8-4 <br /> Chico,CA 95973 (530)895-6938 <br /> a No 9201 <br /> TYLOR JOE IILLIAM MCMILLA16.0136/12/$2 <br /> is hereby certilied/ficensed as a BLASTER <br /> Classification: (E) LIMITED: WELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Limitation: `ONELECIRIC INITIATION ONLY. <br /> This certification or license may be suspended or revoked if the holder <br /> Violates the safe ;orders or regulations of the Division. <br /> Expires:/05/21 <br /> tJnaiur 47 Holder <br /> r <br /> ate of 4/05/16 <br /> Issued t? n ea Issue �— <br /> osa t BSS 'nev.2012 <br /> 1 Federal Explosives License/Permit(FEL)hlfor7n. Card <br /> 1 <br /> 1 LicenseTermit Name:TYLOR MCMILLANS WELL SERVICES LLC <br /> s <br /> s <br /> I Business Name: <br /> 1 <br /> 1 <br /> I LieensePermit Number.9-CA-029-33=1 A-o2228 <br /> f - <br /> License/Pemv(Type:33-USER OF EXPLOSIVES <br /> 1 <br /> Expiration: January 1,2021 <br /> I <br /> 1 i <br /> 1 Please Note: Ivor\ralid forthe Sale or O[)ter Disposition of E:,piasives <br /> t —_ 1 <br />
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