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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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2900 - Site Mitigation Program
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PR0543966
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COMPLIANCE INFO
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Entry Properties
Last modified
6/14/2021 1:29:08 PM
Creation date
6/14/2021 11:29:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543966
PE
2960
FACILITY_ID
FA0025009
FACILITY_NAME
WELL DESTRUCTION ACTIVITIES
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21449003
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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CALIFORNIA DRIVER LICENSE <br /> <br /> <br /> <br /> <br />END NONE <br />MCMILLAN <br />. TYLOR JOE WILLIAM <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />State of California <br />Division of Occupational Safety and Health <br />1367 E. Lassen Ave., Suite 8-4 <br />Chico, CA 95973 (530) 895-6938 <br /> <br />No 9201 <br /> <br />TYLOR JOE WILLIAM MCMILLAb 0 B 6/12/82 <br />is hereby certified/licensed as a BLASTER <br />Classification. (E) LIMITED: WELL SERVICE <br />BLASTING. <br />SEE REVERSE <br />Limitation: NONELECTRIC INITIATION ONLY. <br />This certification or license may be suspended or revoked if the holder <br />violates the safe triers r regulations of the Division. <br />gnatuldfliolder <br />Expires. 4/05/21 <br />/ P <br />Issued o n e-a-779"'" <br />OSP 1/8563 <br />ate of 4/05/16 <br />Issue BA <br />Rev 2012
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