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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544596
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/24/2019 1:51:57 PM
Creation date
6/24/2019 11:42:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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STATE OF TEXAS § <br /> COUNTY OF DALLAS § <br /> BEFORE ME, the undersigned, a Notary Public in and for the County and State <br /> aforesaid, on this day personally appeared Doug Rosencrans and Steven R. Seldowitz, Vice <br /> President and Assistant Secretary, respectively, of 7-Eleven, Inc.,known to me to be the persons <br /> whose names are subscribed to,the foregoing instrument, and acknowledged-to me that the same <br /> was the act of the said corporation, a Texas corporation, and that they executed the same as the <br /> act of such corporation for the purposes and consideration therein expressed and in the capacities <br /> therein stated. <br /> GIVEN UNDER MY HAND AND SEAL OF OFFICE this 10th day of January, 2012. 1 <br /> _ Ce <br /> NOTARY p PUBLIC <br /> My Commission Expires: <br /> _ /' OR'vf '4tib IQ1' Karen Pei,�jejj <br /> s k !logyA17C, Stile ol,as <br /> 9 <br /> try Jomm. xpirzs 105l 'i 2012 <br /> LIMITED AUTHORIZATION—Page 2 + <br /> 99157BA/SPAM088/03%/011012 <br />
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