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SU0004219
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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25655
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2600 - Land Use Program
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PA-0300587
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SU0004219
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Entry Properties
Last modified
11/19/2024 1:58:51 PM
Creation date
9/8/2019 12:57:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004219
PE
2632
FACILITY_NAME
PA-0300587
STREET_NUMBER
25655
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
APN
00514129
ENTERED_DATE
5/14/2004 12:00:00 AM
SITE_LOCATION
25655 N HWY 99
RECEIVED_DATE
12/5/2003 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\25655\PA-0300587\SU0004219\EH PERM.PDF
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EHD - Public
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License Detail Page 2 of 2 <br /> —W I-Ew <br /> BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) SYLVIE <br /> CARMEL JENSEN certified that he/she owns 10 percent or more of the voting stock/equity of the <br /> corporation. A bond of qualifying individual 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. 02/01/2005 <br /> Workers Compensation History <br /> * * * Miscellaneous Information <br /> Date Description <br /> 106/30/199511 LICENSE REISSUED TO ANOTHER ENTITY <br /> Personnel listed on this license (current or disassociated) are listed on other licenses. <br /> Personnel List Other Licenses <br /> License Number Request Contractor Name Request Personnel Name Request <br /> Sales_erson Request Salesperson Name Request <br /> C 2003 State of California. Conditions of Use Privacy Policy <br /> http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp?LicNum=552198 2/25/2004 <br />
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