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SR0082876
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SR0082876
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Entry Properties
Last modified
10/19/2022 3:09:50 PM
Creation date
10/19/2022 1:58:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
SR0082876
PE
2903
FACILITY_ID
FA0026235
FACILITY_NAME
RAISING CANES RESTAURANTS LLC
STREET_NUMBER
4707
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816004
ENTERED_DATE
11/12/2020 12:00:00 AM
SITE_LOCATION
4707 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> RS`T9 NONE J 0612T9$2, <br /> SEX M HAIR ORN EYES Bk.11 <br /> HGT V-01" NIGT 2251b <br /> F r.k DD 0511072016660MCCFN21 5f1Ul2418 <br /> e of California <br /> Division of Occupational Safety and Health <br /> 1367 F.Lassen Ave.,Suite 13-4 <br /> Chico,CA 95973 (530)895-6938 <br /> N0.9201 <br /> TYLOR JOE WILLIAM MCMILLA16.0.g6/12/82 <br /> is hereby certified/licensed as a BLASTER <br /> Classification: (E) LIMITED: WELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Federal Explosives LicenselPertnit(FEL)Information Card <br /> I icensecTermit Name:MCMILLAN,TYLOR <br /> Business Name: <br /> License°Permit Number:9-CA-087-33-8E-02058 <br /> Licens°ePermit Type.33-USER OF EXPLOSIVES <br /> E\piration: May 1,2018 <br /> Pleam Note: \ot Valid for the s,.•ale or Chher Disposnion of E.\plcsivas. <br /> Compliance SolutionsOccupational Trainers.Inc. <br /> Certificate of Completion <br /> Student Name:Tylor McMillan <br /> +amp'any. Water Welt Technology,Inc. <br /> 4Certify tkat the above named student has CompiCted,the " <br /> 40-Hour IIAZWOPER <br /> 29 CFR 1910.1 <br /> Date of Is t106 <br /> �a <br /> • Gar Lineback instructor <br />
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