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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0508352
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/22/2022 11:52:32 AM
Creation date
9/23/2020 1:33:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0508352
PE
2361
FACILITY_ID
FA0008044
FACILITY_NAME
CHEVRON STATION #1731*
STREET_NUMBER
3355
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12618007
CURRENT_STATUS
01
SITE_LOCATION
3355 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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i <br /> or <br /> WAYNE PERRY, INC . <br /> Environmental Remediation, Construction and Consulting <br /> THE EMPLOYEES LISTED BELOW ARE AUTHORIZED TO SIGN FOR PERMITS FOR WAYNE PERRY, INC. <br /> STATE CONTRACTOR'S LICENSE N0 , 300345 . <br /> Greg Hohn George Johns Monica Molinar Anthony Rodriguez <br /> �- RECEIVED <br /> MAR 2 2 2019 <br /> Thad Sandford , Vice President/CFO <br /> ENVIRONMENTAL HEALTH <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT DEPARTMENT <br /> A notarypublic or other office completing this certificate verifies only the identityof the individual who signed this document to which this <br /> certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br /> State of California J <br /> County of Orange J <br /> On SEPTEMBER 27 2018 before me, JILL A,_ CHAVEZ, NOTARY PUBLIC, personally appeared THAD SANDFORD. who <br /> proved to me on the basis of satisfactory evident to be the person whose name is subscribed to the within instrument <br /> and acknowledged to be that he executed the same in his authorized capacity, and that by his signature on the <br /> instrument the person, or the entity upon behalf of which the person acted, executed the instrument. <br /> 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and <br /> correct. <br /> WITNESS my hand and official seal. <br /> JILL A. CHAVEEZ <br /> NotaryPublic - California = Signatures <br /> z Orange County <br /> Commission # 2191620 Signature of Notary Public <br /> My Comm . Expires Apr 14, 2021 <br /> 8281 Commonwealth Ave Buena Park, CA 90621 Phone (714) 826=0352 (800) 883=0352 Fax (714)5234880 <br />
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