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WP0039732
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039732
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Entry Properties
Last modified
1/31/2022 2:27:28 PM
Creation date
1/31/2022 1:38:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039732
PE
4373
STREET_NUMBER
295
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
19816022
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
295 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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CALIFORNIA DRIVER LICENSE <br />C <br />F :? 0 i 21202.NONE <br />MCMILLAN <br />. TYLOR JOE WILLIAM <br />12W2 ANDES AVE <br />BAKERSRELO, CA 93312 <br />ucs <br />RSTF. NONE 05121982 <br />'i <br />SU,, M HAIR SRN BLU <br />HGT 6'-01" !':GT 225 lb <br />DD 05 J10t201666006fCCFD.21 0511012016 <br />v <br />State of California <br />^}} Division of Occupational Safety and Health <br />1367 E_ Lassen Ave., Suite B-4 <br />Chico. CA 95973 (5301895.6938 <br />No 9201 <br />TYLOR JOE WILLIAt I MCMILLAIE O e <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, orders or regulations of the Division. <br />â: ' <br />l <br />Expires: 4/05/21 <br />,tJn3tur O7NOlder <br />ate of 4/05/16 <br />Issuetl o n ea Issue Fâ <br />Os? 1 5563 Rev. 2012 <br />Federal EXplosives License/Permit (FEL) Information Card <br />License'Pennit 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 I <br />I <br />Please Note: Not Vslid fur the Sale or Other Disposition of Explosives <br />`--------- I <br />
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