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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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EHD - Public
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- California H e Monday. A <br /> Come to <br /> - - - - c — - — <br /> License Detail ICCALIFORNIA CQNTRACTORS STATE LEN <br /> Contractor LiGenqt # 485165 <br /> DISCLAIMER <br /> Alicense status check provides information taken from the CSLB license data base. Before <br /> on this information, you should be aware of the following limitations: <br /> - . e CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject ti <br /> - complaint disclosure, a link for complaint disclosure will appear below. Click on the lin <br /> button to obtain complaint and/or legal action information. <br /> . Per B&P 7071 V, 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 the <br /> arbitration. - <br /> . Due to workload , there may be relevant information that has not yet been entered ont <br /> Board's license data base. <br /> Extract Date: 06107/2004 <br /> Business Information <br /> /G EGG DRILLING & TESTING INC <br /> 2726 WALNUT AVENUE SIGNAL HILL, CA 90806 <br /> Business s Phone Number: (562) 427-6899 <br /> Entity: Corporatio <br /> ® / Issue Date: 01 /091198 <br /> 0911986 Expir ate: 0113112006 <br /> O� * * License Stat <br /> � '. <br /> This license is current and active. All information below should be reviewed. <br /> * * * Classifications <br /> Class <br /> Description <br /> C57 JWELL DRILLING (WATER) <br /> * * * Bonding Information * * * <br /> CONTRACTOR'S BOND: This license filed Contractor's Bond number 69409948 in the ar <br /> $10,000 with the bonding company <br /> WESTERN SURETY COMPANY. <br /> Effective Date: 011012004 <br /> Contractor'sBonding I�ist;ry <br /> BOND OF QUALIFYING INDIVIDUAL(1 ): The Responsible Managing Officer (RMO) J, <br /> MICHAEL GREGG certified that he/she owns 10 percent or more of the voting stock/equit <br /> corporation. A bond of qualifying individual is not required. <br /> Effective Date: 03105119113 <br /> BQFs Bonding History <br /> * * Workers Compensation Information <br /> This license has workers compensation insurance with the <br /> ARCH INSURANCE COMPANY NAIC #11150 <br /> Policy Number: ZAWCI90217 Effective Date: 0810112003 Expir ate: 08/01 /2004 <br /> Workers CompensationH is-t-onr <br /> Personnel listed on this license (current or disassociated) are listed on other liter <br /> Personnel List Other Licenses <br /> License Number Request Contractor Name Request Personnel Name Request <br /> Salesperson Request Salesperson Name Request <br />
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