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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200 – Liquid Waste Program
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PR0526172
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COMPLIANCE INFO
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Entry Properties
Last modified
2/5/2026 4:46:38 PM
Creation date
8/5/2020 10:00:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526172
PE
4242 - WASTE WATER TX PLANT
FACILITY_ID
FA0017710
FACILITY_NAME
NATIONAL PSYCHIATRIC CARE & REHAB SVCS SJ
STREET_NUMBER
401
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95336
APN
24130052
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\A\AIRPORT WAY\401\PR0526172\INSPECT CORRESPOND.PDF
Site Address
401 S AIRPORT WAY MANTECA 95336
Tags
EHD - Public
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Attachment to LLC_12A 19-C27903 <br /> Statement of Information <br /> Attachment <br /> (Limited Liability Company) <br /> A. Limited Liability Company Name <br /> NATIONAL SAN JOAQUIN LLC <br /> I <br /> i i This Space For Office Use Only <br /> B. 12-Digit Secretary of State File Number C. State or Place of organization(only if formed outside of California) <br /> 201916310574 CALIFORNIA <br /> 0. List of Additional Manager(s) or Member(s) - If the manage,/member Is an Individual, enter the individual name and address If the <br /> manager/member Is an entity,enter the entity's name and address Note The LLC cannot serve as its own manager or member <br /> First Name Mrddte Nome Last Nana Spa <br /> VLADISLAV GORSHTEYN <br /> Entity Name <br /> Address Ci iiro abbTm6otwis) Sate Zip Cad <br /> 15965 LANCSTER RD. L�S GATOS CA 5030 <br /> First Name Middle Name last Na-0 �K's <br /> ROMAN BRAVERMAN <br /> Entity Name <br /> Address City(ro eb",abons) Stale Lp Cade <br /> 7203 GLENVIEW DRIVE SAN JOSE CA 95120 <br /> First Name Middto Name Los!Name SWrI■ <br /> V GREGORY BRAVERMAN <br /> Entity Name <br /> Address CIyI ffro aDDnaaliornl Slats Zro Code <br /> 339 OAK MEADOW DRIVE LUS GATOS CA 95032 <br /> First Name MIsolo Nary. Loft Name Sutra. <br /> Entity Na— <br /> Address city(nosbbro,,istiorn) State Zip Cod <br /> First Name Middle Narne Last Name Surru <br /> Entity Name <br /> Addross City(no obbrawnors) State Zip Code <br /> 4 First Nams Modts Name Lest Nama SJaa <br /> Entity Nerve <br /> Address City(no obbrovtaeorn) Stale Zip Cod <br /> ` First Name Middlo Nome Last Nome Sr X <br /> Entity Narris <br /> Address City(to atibrswbdrs) State ZIP Cdd <br /> LLC-12A-Attachment(EST 07 2016) Page 2 of 2 2016 CaNOinta Seaetery of Sidle <br /> www sos ca govlbusinessbe <br />
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