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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0521306
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Last modified
2/14/2019 9:10:57 AM
Creation date
2/14/2019 8:31:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0521306
PE
2950
FACILITY_ID
FA0014482
FACILITY_NAME
PG&E BYRON RD TRENCH
STREET_NUMBER
0
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
BYRON RD
P_LOCATION
03
QC Status
Approved
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EHD - Public
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License Detail Page 2 of 3 <br /> Class Description <br /> C57 WELL DRILLING (WATER) <br /> * * * Bonding Information * * * <br /> CONTRACTOR'S BOND: This license filed Contractor's Bond number 6018452 in the amount of $7,500 with the <br /> bonding company <br /> SURETY COMPANY OF THE PACIFIC. <br /> Effective Date: 06/30/1995 <br /> Contractor's Bonding History <br /> BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) SYLVIE CARMEL JENSEN <br /> certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual <br /> is not required. <br /> Effective Date: 06/30/1995 <br /> * * * Workers Compensation Information <br /> This license has workers compensation insurance with the <br /> STATE COMPENSATION INSURANCE FUND <br /> Policy Number: 1569784 Effective Date: 02/01/2000 Expire Date: 02/01/2004 <br /> Workers Compensation History <br /> * * * Miscellaneous Information <br /> Date Description <br /> 06/30/1995 LICENSE REISSUED TO ANOTHER ENTITY <br /> Personnel listed on this license (current or disassociated) are listed on other licenses. <br /> http://www2.csib.ca.gov/CSLB_LIBRARY/License+Dctail.asp?LicNum=552198 3/7/2003 <br />
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