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SU0004170
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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QX-84-0010
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SU0004170
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Entry Properties
Last modified
10/27/2020 5:03:03 PM
Creation date
9/6/2019 9:55:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004170
FACILITY_NAME
QX-84-0010
STREET_NUMBER
29293
Direction
S
STREET_NAME
MACARTHUR
STREET_TYPE
DR
City
TRACY
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
29293 S MACARTHUR DR
RECEIVED_DATE
2/12/1993 12:00:00 AM
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\M\MACARTHUR\29293\QX-84-10\SU0004170\REV APPL.PDF
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EHD - Public
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CA Mine 10 It 91-39-0006 Page 2 of 3 <br /> Reclametke; Bond AxroaserDecreesa Rider <br /> Permit No. EP-84-10 <br /> Bond No. 106509 <br /> IN WITNESS THEREOF, the Principal and Surety have hereunto settheir signatures <br /> and seals as of the dates set forth below. <br /> PRINCIPAL <br /> Cate SEPTEMBER 1, 2000 TEICHERT AGGREGATES <br /> (Company -Permit ee (Principalll <br /> (Corporate Offlcef(Pannen/Sole Proprietorl <br /> (Seal) <br /> John B. Sandman <br /> Typed or Printed Name <br /> Title: President, A. Teichert & Son, Inc. <br /> SURETY AMERICAN HOME ASSURANCE COMPANY <br /> I declare, under penalty of perjury, under the laws of the State of California, that I have <br /> executed the foregoing rider under an unrevoked Power of Attorney. <br /> By: c:" <br /> (Signa e o Atto -n•Fatt for Surety) <br /> (Seal) KATHY RANGEL <br /> Typed or Printed Name <br /> Title: ATTORNEY—IN—FACT <br /> Executed in SACRAMENTO, CALIFORNIA on SEPTEMBER 1, 2000 under <br /> icier and Statel (Datel <br /> the laws of the State of California. <br /> (Note: Where one signs by virtue of a Power of Attorney for a Surety Campany, Such fully axecuted Power of <br /> A-orney must to filed with tPus bond.) <br />
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