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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TRACY
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3725
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2300 - Underground Storage Tank Program
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PR0231417
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
11/18/2024 7:53:44 AM
Creation date
1/26/2024 4:54:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231417
PE
2361 - UST FACILITY
FACILITY_ID
FA0003780
FACILITY_NAME
TRACY SHELL
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21217030
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
3725 N TRACY BLVD TRACY 95376
Tags
EHD - Public
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CALIFORNIA ALL=PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br /> yrs -A . - - . AA <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br /> document to which this certificate is attached , and not the truthfulness , accuracy, or validity of that document. <br /> State of California ) <br /> County of ,Stan Diego �y) <br /> On `[ - ZD 7110 before me , QVa 00ju S Notary Public , <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared t " `a T �Lo� w VVI Qi It \ L� <br /> Name(s) of Si ner(s) <br /> who proved to me on the basis of satisfactory evidence to be the person (4 whose name(? is/are <br /> subscribed to the within instrument and acknowledged to me that he/&heey executed the same i <br /> � n <br /> his/hefA4eir authorized capacity(os), and that by his/ber414eir signature (g) on the instrument the person ( , <br /> or the entity upon behalf of which the persony6) acted , executed the instrument . <br /> I certify under PENALTY OF PERJURY under the laws <br /> of the State of California that the foregoing paragraph <br /> is true and correct . <br /> BARBARA J . DANIELS ,, WITNESS my hand and official seal . <br /> U COMM . 2189015 Inn ' <br /> (7 x " NOTARY PUBLICCALIFORNIA 0 ted- ' <br /> SAN DIEGO COUNTY n P <br /> (Atu Id <br /> OnCOMM . EXPIRES APRIL 27, 2021 -' Signature <br /> Signature of Notary Public <br /> Place Notary Seal Above <br /> OPTIONAL <br /> Though this section is optional, completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an unintended document. <br /> Description of Attached Doc me t <br /> 1S <br /> Title or Type of Document : .av e. e� ocument Date : Z <br /> zG O <br /> Number of Pages : Signer(s) Other Than Nan ed Above : <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer' s Name : Signer' s Name : <br /> 1 Corporate Officer — Title(s) : I. 1 Corporate Officer — Title(s) : <br /> J Partner — I ] Limited I 1 General F1 Partner — I i Limited I-� General <br /> A Individual ❑ Attorney in Fact 1-1 Individual IJ Attorney in Fact <br /> J Trustee ❑ Guardian or Conservator ] Trustee IJ Guardian or Conservator <br /> ❑ Other: L] Other : <br /> Signer Is Representing : Signer Is Representing : <br />
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