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WP0039721
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039721
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Entry Properties
Last modified
1/31/2022 2:21:19 PM
Creation date
1/31/2022 1:36:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039721
PE
4373
STREET_NUMBER
146
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
20014011
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
146 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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CALIFORNIA . �t'IA DRIVER LICENSE <br /> <br />C'LAsS C <br />r'.•P 061121202' END NONE <br />fUICMILLAN <br />1 TYLOR JOE WILUAM <br />12502 ANDES AVE <br />2AKERSRELD, CA 93312 <br />Dos <br />RSTR NONE 061212 <br />SEX M HAin BRN :'IES 8LU <br />DD CS,101201"G600t Mal 0571012016 <br />State of Cardomia <br />�} Division of Occupational Safety and Health <br />1367 E. Lassen Ave_, Suite B-4 <br />Chico, CA 95973 (53o) 895.6938 <br />.. � No 9201 <br />TYLOR JOE WILLIAM MCMILLAg a.$ <br />is hereby certified/licensed as a BLASTER <br />Classification: (E) L LUTED: 14E—L 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. ;orders or regulations of the Division. <br />Expires:'/05/21 <br />tJnatu 6f Holder <br />i <br />ale of 4/05/16 <br />Issued O as y tssae -BW- <br />Os" <br />as <br />Rev. 2012 <br />Federal Explosives License/Permit (FEL) jUf0rrnation Card <br />1 LicensePen it Name: TYLOR MCMILLANS WELL SERVICES LLC <br />t <br />t Business Name: <br />t <br />I <br />I LieenseTermit Number: 9 -CA -029-33=1 A-02228 <br />License(Peririt Iype:33-USER OF EXPLOSIVES <br />t <br />Expiration: January 1, 2021 <br />I <br />1 1 <br />I Please Note: Not \Ialid for ilia Sale or Other Disposition of — E)plosivea <br />1. — I <br />--------------------- -- t <br />
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