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FIELD DOCUMENTS FILE 3
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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FIELD DOCUMENTS FILE 3
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Last modified
6/21/2019 5:35:21 PM
Creation date
6/21/2019 3:22:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 3
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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License Defall <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE Pa., 3 o6 3 08/11/2004 <br /> CfilM1f H ' <br /> Wednesday Auq pp°°'KEa �� x,w 677-315-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> tu=u a..riu - ,qso--• Cort .Cain HOLDER. THIS CERTIFICATE DOES NOT AMEND, WEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> kV. <br /> e.}u.,°ix191 <br /> INSURERSAFFORDINGCOVERAGE <br /> I ome to 4, <br /> CALIFORNIA_CONT.RACTORS_STA.TE LICEN EiPe.i Willi F yAwffwA a <br /> u DTIC <br /> License Detail <br /> Contractor License # 485165 <br /> DISCLAIMER THE REV`D IesOF NBIIRANCE usrm eELDWNAVE eEEN IswED.oTHEu+ �wa. .��ve R EPp.ICYPERbO RIDCATED.uOIwIM9TANONO <br /> MY ENT, TERM OR OONDmON OF N.Y WNTR*OT OR On1ER OWYSEM WITH RESPECT TO 4 TIUs OERTFIDKTE MAY BE ISSUED OR <br /> A license status check provides information taken from the CSLB license data base. BeforE MAIN.TE IAM�wF�cE A DBYTHE Ew�s�DRmm HERSH SUBJECT uswNs umcororrloxs of s,ol <br /> on this information, you should be aware of the following limitations: <br /> . CSLB complaint disclosure is restricted by law (S&P 7124.6). If this entity is subject t( <br /> complaint disclosure, a link for complaint disclosure will appear below. Click on the lin I,�H.°E ❑ ogwfi <br /> button to obtain complaint and/or legal action information. <br /> , Per B&P_ 7071 . 17, only construction related civil judgments known to the CSLB are di <br /> . Arbitrations are not listed unless the contractor fails to comply with the terms of thePo,��1 <br /> arbitration. a'^^m r <br /> a Due to workload, there may be relevant information that has not yet been entered ont IEM�°e Hr3P <br /> Board's license data base. <br /> Extract Date: 08/11 /2004 <br /> * * * Busin ton " <br /> GREGG DRILLING & TESTING INC <br /> 2726 WALNUT AVENUE "'°"^❑ a..aa _ <br /> SIGNA H It <br /> one Number: (562) 427-6899 <br /> MOOR Is <br /> PRO <br /> Entity: Cor ora <br /> tion <br /> Issue Date: 0110911986 Expire on <br /> 01/31/2006 <br /> ' <br /> Was Won; <br /> s 1 Dao DOD <br /> ufiew°rev <br /> * * * License Status MIR <br /> This license is current and active. All information below should be reviewed. <br /> pplY� * * * Classifications <br /> Class Description Vr� <br /> C57 WELL DRILLING (WATER) 7R�nLDER eANCELIA Fa neeuxMa 30 O Bondinglnformation * * * °° ORWeIT. OF .RTaOUFF1K �. mAeBR,CONTRACTOR'S BOND: This license filed Contractor's Bond number 69409948 in the an$10,000 with the bonding company 6r><3TRTNE. e. <br /> WESTERN SURETY COMPANY. AcGRonapnn CO1L3D655601y11287955 08rt: 4668091 CACONDCORPORATIDN1P68 <br /> 8/11 /2004 <br /> hnp://www2.eslb.ca.gov/CSLB_LIBRARY/License+Detail.asp <br />
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