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SR0079025
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2900 - Site Mitigation Program
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SR0079025
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Last modified
3/11/2021 1:32:53 PM
Creation date
3/11/2021 1:32:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
CORRESPONDENCE
RECORD_ID
SR0079025
PE
2904
FACILITY_ID
FA0024554
FACILITY_NAME
JOHNS, WILLIAM D
STREET_NUMBER
1640
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14325012
ENTERED_DATE
4/20/2018 12:00:00 AM
SITE_LOCATION
1640 N BROADWAY AVE
QC Status
Approved
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EHD - Public
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ACKNOWLEDGMENT <br /> A notary public or other officer completing this <br /> certificate verifies only the identity of the individual <br /> who signed the document to which this certificate is <br /> attached, and not the truthfulness, accuracy, or <br /> validity of that document. <br /> State of California <br /> County of San Joaquin ) <br /> On 3-) before me, Terri L. Tutt, Notary Public <br /> (insert name and title of the officer) <br /> personally appeared G— P. 1,, a-, � -,/ f�,-t y Won <br /> who proved to me on the basis of satisfactory evidence to be the person s) whose names) is/are <br /> subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the <br /> person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br /> I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br /> paragraph is true and correct. <br /> WITNESS my hand and official seal. TERRIL.TUTT <br /> Notary Public-California <br /> z its' San Joaquin County v <br /> r; Commission«2176433 <br /> My Comm.Expires Jan 18,2021 <br /> Signature (Seal) <br />
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