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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545195
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/23/2020 12:02:14 PM
Creation date
1/23/2020 11:40:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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01/09/2014 12:56 17074495 COUSINS Lam+ <br /> PAGE 02/02 <br /> i <br /> I <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 Hazelton Ave <br /> Stockton, CA'95205-6232 <br /> Subject: CERTIFIED LIST of RECORD FEE TITIN;OWNERS FOR: <br /> Former Customer Company#37 Gas Station <br /> SITE NAME:, <br /> ADDRESS: 15 East Grant Line Rd. Tracy, California <br /> Complete#1 if there are multiple site landowners, <br /> Complete 42 if you are the sole site landowner. <br /> I. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health&Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> I, John Roscoe,President,The Customer Company 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 /> Samoski,Yvette 420 Mission Bay Blvd.M.#1201 San Francisco,CA 94158 <br /> Sallaberry,George 37268 South Copper Ridge Court,Tucson,Arizona,85739 <br /> Sallaberry,John,Trustee 420 Mission Bay Blvd.M.#1201 San Francisco,CA 94158 <br /> Sallaberry,Francine,Trustee 420 Mission Bay Blvd.M.91201 San Frandaw,CA 94158 <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Pa►ty: <br /> I, cedify I am the sole landowner for the <br /> above site. <br /> Sincere <br /> S a M Pate <br />
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