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WP0039723
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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AIRPORT
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039723
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Entry Properties
Last modified
7/29/2020 5:02:37 PM
Creation date
7/29/2020 2:54:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039723
PE
4373
STREET_NUMBER
153
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
19817022
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
153 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CALIEWNIA DRIVER LICENSE <br /> !';ASS C <br /> F'<r' 0611212021 -=.,j:3 NONE <br /> MCMILLAN <br /> TYLOR JOE WILLIAM <br /> 12:;72 ANDES AVE <br /> eAKERS67ELD,CA 93312 <br /> u06 0611211902 '^ <br /> o f PSTR NONE # 06121982 <br /> � tp'Ll <br /> SEX M HAIR BRN EVES BLL <br /> 14137 s'-01" %IGT 2251b - iss <br /> JO aS'fa.ZotcccaocrccFart� Q51t012Qts <br /> r <br /> State of Cardomia <br /> Division of Occupational Safety and Health <br /> 1367 E.Lassen Ave.,Suite B-4 <br /> Chico,CA 35973 (530)895.6938 <br /> No 9201 <br /> TYLOR JOE tdILLIAM MCMILLAI6.0.8 6/12/82 <br /> is hereby certifiedRcensed as a BLASTER <br /> Classification: (E) LIMITED: 14ELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Limitation: NONELECTRIC INITIATION ONLY, <br /> This cerGrication or license may be suspended or revoked H the holder <br /> Violates the safe,;orders or regulations of the Division. <br /> ` f=xpires:4/05/21 <br /> gnatu blHolder <br /> ate of 4/05/16 <br /> Issued o n ea issue �— <br /> Os t 'Sm <br /> Say.2012 <br /> 1 Federal Explosives License/Petmit()'EZ)Information Card <br /> 1 <br /> I License,,?ermitName:TYLOR MCMILLANS WELL SERVICES LLC <br /> 1 <br /> f <br /> I Business Name: <br /> I <br /> f <br /> I Lieensei'ermitNumber:9-CA-029-33-1A-O2?2g <br /> 1 <br /> License(Pennit Type:33-USER OF EXPLOSIVES <br /> 1 <br /> Expiration: January 1,2021 <br /> I <br /> 1 1 <br /> 1 Please Note: Not Valid for the Sale or Other Disposition of Explosives <br /> _.._---------- <br />
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