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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0518600
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
12/7/2018 10:53:10 AM
Creation date
12/7/2018 10:30:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0518600
PE
2960
FACILITY_ID
FA0013996
FACILITY_NAME
CROP PRODUCTION SERVICES
STREET_NUMBER
1905
Direction
N
STREET_NAME
BROADWAY
City
STOCKTON
Zip
95205
APN
14315004
CURRENT_STATUS
01
SITE_LOCATION
1905 N BROADWAY
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> ��rer�rzr�r�cstir,�:r.��r�r�c,�r�rtir�s�r�c..�.M�•t�.�.c��rsx,�r-���� - r <br /> I <br /> yyy State of California <br /> e <br /> County of orange <br /> 'yG^ On Septebmer 15, 1998 before me, Seaneette Vasquez <br /> Oale Name all TIYL 0f omCer(8.E.-JWIo Doe.Nomry PUwiei <br /> personally appeared Eric R. Shallanberger <br /> Narti+(si of SlOhnr(s) <br /> 1)personally known to me-OR-❑proved to me on the basis of satisfactory evidence to be the person(s) <br /> whose name(s)is/are subscribed to the within instrument <br /> and acknowledged to me that he/she/they executed the <br /> 1� same in his/her/their authorized capacity(ies),and that by <br /> hislher/their signature(s)on the instrument the person(s). <br /> JEANEETfEYASG1ulZ or the entity upon behalf of which the person(s) acted, <br /> I <br /> commissions 1160225 executed the instrument. <br /> �.< NoraryPuorc-Crnlfodild <br /> OwngeCounty WITNESS my hand and official seal. <br /> My Comm.6pi esNw t.7t10t y <br /> 3- A <br /> Ili Signa o1N Puhlk <br /> C OPTIONAL <br /> Though the Information below is not required by law,It may prove valuable to persons retying on the document and could Prevent I <br /> Iraudulant removal and reattachment of this form to another document <br /> I <br /> Description of Attached Document <br /> Title or Type of Document: License/Permit Bond 08006782 II <br /> ,I <br /> Documern Date: September 10th, 1998 Number of Pages: ? <br /> Signer(s) Other Than Named Above: <br /> FFFF"'' Capacity{ies) Claimed by Signer(s) <br /> Eric R. Shallanber er <br /> i. Signer's Name: 8 Signer's Name: i <br /> ❑ Individual ❑ Individual ' <br /> $1 Corporate Officer 0 Corporate Officer <br /> I•. Title(s): Title(s): <br /> ❑ Partner—F Limned ❑General n Partner—❑ Limited ❑General <br /> FJ Attomey-in-Fact ❑ Attomey-in-Fact <br /> ❑ Trustee ❑ Trustee <br /> 0 Guardian or Conservator WifiJaM ❑ Guardian or Conservator <br /> Tap of thumb Mere Top of mumu here <br /> ❑ Other. ❑ Other. <br /> i i <br /> i, Signer IS Representing: Signer Is Representing: <br /> Union Oil Co. of <br /> California <br /> I o <br /> I <br /> O 10"Naowul NPlaly A-WWW•ME"rhmol Ave-P.O.On 71M•Cmap Pont CA 919M-710a Proo.Na_sell mother,Call 1bf,Fep 1.900.87661127 <br />
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