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FIELD DOCUMENTS_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6131
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3500 - Local Oversight Program
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PR0545003
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FIELD DOCUMENTS_FILE 1
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Last modified
11/27/2019 11:02:10 AM
Creation date
11/27/2019 10:54:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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MRR-05-2001 11:35 C MBRIR INC. 1767 935 6649 P.04i07 <br /> you from any and all claims by third parties arising out of the work performed by Equilon <br /> under this agreement. <br /> Please sign below to signify your consent and return this letter with the attachments in <br /> the enclosed stamped envelope. <br /> We appreciate your cooperation in this matter and would appreciate your timely <br /> response. If you have any questions,please call Aubrey Cool at (707) 933-2368. <br /> Very truly yours, <br /> Equilon Enterprises LLC <br /> By: if <br /> v12w 114-� <br /> I have reviewed your request and I hereby consent to the entry by Equilon <br /> Enterprises LLC upon my property for the purpose of performing the work <br /> described herein. I understand that I may be prevented from using a portion of my <br /> property and I agree to the minor disruption of the normal use of my premises as <br /> described. <br /> I further represent and warrant that I am the owner of the property located at <br /> 6025-6045 Pacific Avenue, Stockton, California with full authority to provide the <br /> consent given above. <br /> Helen Miller , Ronna B.Mor s <br /> i:h <br /> Co-Tr tee of the Miller Family Trust Co-Trus a oft e Miller Family Trust <br /> By: By: /� <br /> Date: Date: <br /> 2 <br />
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