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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HANSEN
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24550
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2900 - Site Mitigation Program
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PR0537774
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FIELD DOCUMENTS
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Last modified
1/29/2020 5:59:45 PM
Creation date
1/29/2020 4:36:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0537774
PE
2950
FACILITY_ID
FA0021779
FACILITY_NAME
FED X GROUND TRACY PROJECT
STREET_NUMBER
24550
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
24550 S HANSEN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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State of no<s ) <br /> ss. <br /> County of COOK ) <br /> On lDecenbo"c oft aoi!before me, (here who rinsert oved tomen the basis e of the sof <br /> personally appeared Ti, n YFN ' ' 222'Cw r V! p <br /> satisfactory evidence to be the persons) whose trame(s) is/are subscribed to the within <br /> instrument and acknowledged to me that he/she/they executed the same in his/her/their <br /> authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),or <br /> the entity upon behalf of which the person(s) acted, executed the instrument. <br /> t Ice foregoing <br /> fy under <br /> PENALTY OF PERJURY under the laws of the State of 9+ �`l emig <br /> paragraph is true and correct. <br /> Witness my hand and official seal. <br /> SignatureQS �'. (Seal) <br /> E <br /> FICIAL SEALRIE A RODRIGUEZBLIC-STATE OF B1IMSSION EXPIKSOMM <br /> State of California <br /> r sS. <br /> County of <br /> On before me, (here insert name and title of the officer), <br /> who proved to me on the basis of <br /> personally appeared <br /> satisfactory evidence to be the person(s) whose names) is/are subscribed to the within <br /> instrument and acknowledged to me that he/she/they executed the same in his/her/their <br /> authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or <br /> behalfthe entity upon ) <br /> under <br /> PENALTY OF PERJURY under the lawsof acted, executed <br /> State instrument. <br /> of Cal f rnia that lthe foregoing <br /> paragraph is true and correct. <br /> Witness my hand and official seal. <br /> Signature (Seal) <br />
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