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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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r � <br /> SIt1C6 Y g6Q <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 NO.300345. <br /> Greg Hohn George Johns Monica Molinar Anthony Rodriguez <br /> ............. RECEIVED <br /> MAR 2 2 ?019 <br /> Thad Sandford,Vice President/CFO <br /> ENVIRONMENTAL HEALTH <br /> CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT DEPARTMENT <br /> A notary public or other office completing this certificate verifies only the identity of 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 27,201 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 /> I 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 /> z LLA CHAVEf <br /> Notais Hornia � Signature County <br /> Commission A 2191620 Signature of Notary Public <br /> My Comm.Explres Apr 14,202 t <br /> 8281 Commonwealth Ave Buena Park,CA 90621 Phone(714)826-0352 (800)883-0352 Fax(714)523-7880 <br />
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