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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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5491
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3500 - Local Oversight Program
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PR0545028
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
12/6/2019 5:05:08 PM
Creation date
12/6/2019 2:55:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> l <br /> 1 <br /> San Joaquin County <br /> Environmental Health.Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: - I 'E)k'. " 1G-'T21_1i-caurn &&G t . -4-4A`7- <br /> ADDRESS: iJ�l/ F d<&&t�7r BAnt�m , <br /> Complete #1 if there are multiple site landowners. <br /> Complete #2 if you are the safe site landowner. <br /> 1. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Paftyo <br /> I certify that the following is a <br /> complete list of.current record fee title owners and=their mailing addresses for the <br /> above site: <br /> 2.- In accordance with Section 2629.7.15(a)of Chapter G:7 of the-Health & Safety Code: <br /> Name of Responsible Party., <br /> I, ht�L1� /- ,� E7'a�, certify l am theme landowner for the. <br /> above site: /:S oWiVci l� PCtc1- PJM 4_44 <br /> Sincerely, beve Pill <br /> J <br /> Signature 17ate <br /> Revised 12/15ro9 <br />
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