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WP0039726
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039726
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Entry Properties
Last modified
1/31/2022 2:22:42 PM
Creation date
1/31/2022 1:37:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039726
PE
4373
STREET_NUMBER
185
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
19817020
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
185 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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y CALIFpOk RNIAy DRIVER LICENSE <br /> <br /> <br />ClASS C <br />0 <br />-112/2021 _z:0 NONE <br />MCMILLAN <br />TYLOR JOE WILLIAM <br />12 302 ANDES AVE <br />BAKERSFIELD, CA 93312 <br />Dos { <br />RSTR NONE f 06121982 <br />SEX M HAIR SRN SLA <br />HGT V-01" VIGT 225 lb lcc <br />DO a-100201"0061CMDQI W1012016 <br />a <br />State of California <br />y Division of Occupational Safety and Health <br />1367 E. Lassen Ave_, Suite 8-4 <br />'+ Chico, CA 95973 (530) 895-6938 <br />-d`-' too 9201 <br />TYLOR JOE WILLIAM MCMILLA16_036/ <br />is hereby certifiedficensed as a BLASTER <br />Classification: (E) LIMITED: 14ELL SERVICE <br />BLASTING. <br />SEE REVFRSE <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:4/05/21 <br />cdnatu >Si Ndtder <br />ate of 4/05/16 <br />Issued O n ea Issue �— <br />OSP t 65x1 <br />Rev. 2012 <br />1 <br />Federal Esp]osi"es License/PelTnit (FEL) IIIfolmation C1n•d ` <br />1 Licei '.."Permit Name: TYLOR MCMILLANS WELL SERVICES LLC <br />! <br />l Business Name: <br />1 <br />I <br />I LieensefPermitNumber.9-CA-029-33=1A-02228 <br />License/Permit Type:33-USER OFEXPLOSIVES <br />EXpiration: January 1, 2021 i <br />I I <br />I PIaase Note; Not Validforthe Sale or Other isp0-,Mi--_.f F_Vjosie.v <br />1------------- --_ I <br />
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