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WP0039947
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039947
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Entry Properties
Last modified
11/2/2021 9:31:03 AM
Creation date
11/2/2021 9:28:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039947
PE
4373
STREET_NUMBER
2605
Direction
S
STREET_NAME
MACARTHUR
STREET_TYPE
DR
City
TRACY
Zip
95376-
APN
24614012
ENTERED_DATE
8/12/2019 12:00:00 AM
SITE_LOCATION
2605 S MACARTHUR DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Expires,4/05/21 tu)r-j y <br />g r naHolder <br />Issued <br />OSP 1 <br />,r563 <br />p 119.4e — • n ea 4( <br />ate of 4/05/16 <br />Issue 13A <br />Rev. 2012 <br />CALIFORNIA• DRIVER LICENSE <br /> <br />CLASS C <br />rp 06/12/2021 r.ra3 NONE <br />MCMILLAN <br />TYLOR JOE WILLIAM <br />12302 ANDES AVE <br />BAKERSFIELD, CA 93312 <br />Dos 1982 <br />Ram NONE <br /> <br />SEX hi HAIR SRN EYES BLIJ <br />HGT r-or V/GT 22519 i SS <br />OD 53/10/21116CCOOMCF1121 05/1012016 <br />Slate of California <br />Division of Occupational Safety and Health <br />1367 E. Lassen Ave., Suite B-4 <br />Chico, CA 95973 (530) 895-6938 <br /> <br />No.9201 <br /> <br />TYLOR JOE WILLIAM MCMILLAgo B 82 <br />is hereby certifiedilicensed 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 rders or regulations of the Division. <br />Federal Explosives License/Permit (FEL) Information Card <br />License/Permit Name: TYLOR MCMILLANS WELL SERVICES LLC <br />Business Name: <br />License/Permit Number: 9-CA-029-33-1A-02228 <br />License/Permit Type: 33-USER OF EXPLOSIVES <br />Expiration: <br />January 1,2021 <br />Please Note: Not Valid for the Sale or Other Disposition of Explosives.
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