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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARNEY
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255
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2300 - Underground Storage Tank Program
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PR0537549
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
6/24/2026 2:05:03 PM
Creation date
4/2/2025 10:59:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0537549
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0021617
FACILITY_NAME
HARNEY LANE AM PM
STREET_NUMBER
255
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06258040
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
255 E HARNEY LN LODI 95240
Tags
EHD - Public
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CONTRACTORS STATE LICENSE ROAM <br /> OContractor's License Detail for License # <br /> 433159 <br /> DISCLAIMER:A license status check provides information taken from the CSLB <br /> license database. Before relying on this information,you should be aware of the <br /> following limitations. <br /> CSlBmmpbintoltowm Kr shed by uwfUPT1:+.6)Pth'a coon Isaac atte p„WkremplainvdiWmure dhk <br /> or fink-,hatwill aoprat talaw hrmort information.Crck heiefo,a derin4,on ordiulouble actions. <br /> Ontl fortuructiori mWedtyll)udgmentu reportec to CSLB are diulosal lliSP v.071.17I, <br /> Ntutna tit aro not lde ante¢the mnhaetor falls bcomplyhilh t+e tr,ns <br /> Wo..a vnrkioW,th?re noVbe rvimn:information thirnas not Ro ban mte,ed;nr th¢board's ntcme 14abaw. <br /> r <br /> Data current as of 1/30/202511:15:25 AM <br /> Bra;ironinfr)abon <br /> B 2 SERVICE STATION MAINTEIIANCE 114C <br /> P O BOX 933 <br /> WEST SACRAMEN TO,CA95691 <br /> Business Phone Number;916)371.2380 <br /> Entity Corpoiation <br /> Issue Date 01/03n%3 '.. <br /> Expire Date 01/31/2027 <br /> This license is current and active. <br /> All information below should be reviewed. <br /> i.iSSiJCGIIOhC <br /> a B•GENERALSUILDI%G <br /> a C-61/D40-SERVICE STATION EQUIPMENTAND MAINTENANCE <br /> k A-GENERAL ENGINEERING <br /> Contractor's stood <br /> This license riled a Contracloes Bond with i MnICAN CONTRACTOnS INDEMVITV COMPANY. <br /> Bond Number JMTG893 <br /> Bond Amount:$25,000 <br /> Effective Daft:01J0112073 <br /> Contractors Bord History. <br /> Bond of Qualifying Individual <br /> This license filed Bond of Qualifying Individual number 100843031 for KYLE MARTIN MUSICK in tht <br /> amount of$28,000 with AMERICAN CONTRACtORS INDEMNITY COMPANY, <br /> Effective Date:03/11/2024 <br /> This license has workers compensation insurance with the OMAHA NATIONAL CASUALTY C:)W PANY <br /> Policy Number.0NCC1701224801 <br /> Effective Date. 0127l2024 <br /> Expire Daft:10/27/2D25 <br /> Worker;Compensation History <br /> Workers'compensation classfwation cedels)t <br /> f 5128-Instnunertlns%IVRepatr <br /> 5191.Of wMachine/POS Equip I nstalUReoafr <br /> 8610-Clerical Office Employees '.. <br /> For a description of the workers'compensation classification codes)listed for this licensee,contact <br /> the licensee's insurance carrier.Contact information foe the licensee's inwrer is available by clicking <br /> the Insurer link some.Classification codes are also 341able on the Workers'Compensation, <br /> Insurance RatingBureau's classification search page. <br /> The board does not verify or investigate the accuracy of classification codes displayed <br /> 1acicto'icn Con aionscf i S,- <br /> CV r CC XSiOIlit <br /> u, n+:ai:..a;t•r (r. +it:rnfi rsr <br />
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