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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0505603
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/9/2020 10:21:12 AM
Creation date
3/9/2020 8:25:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505603
PE
2950
FACILITY_ID
FA0006892
FACILITY_NAME
SHERMAN HINAMAN TRUST ET AL
STREET_NUMBER
2409
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15542001
CURRENT_STATUS
01
SITE_LOCATION
2409 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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-CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 <br /> 2 1995 <br /> State of Ca t-i f or-n! a ENVIRONMENTAL <br /> County of Butte PERMIT/SERVICES LTH <br /> On July 10, 1995 before me, Linda J. Osbourn , Notary Public , <br /> DATE NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC' <br /> personally appeared ** Sherman S. Hsi naman, Jr . *** , <br /> NAME(S)OF SIGNER(S) <br /> ❑x personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence <br /> to be the person(s) whose name(s) is/are <br /> subscribed to the within instrument and ac- <br /> knowledged to me that he/she/they executed <br /> the same in his/her/their authorized <br /> capacity(ies), and that by his/her/their <br /> signature(s) on the instrument the person(s), <br /> or the entity upon behalf of which the <br /> UNDA J.OSBOURN person(s) acted, executed the instrument. <br /> comm.#1051501 <br /> Z .''@ Notary Pubtic—C 9famla <br /> Z BUTTE COUNTY <br /> My Comm.Eqk«MAR 16-119J /JS W ITN Ey hand and official seal. <br /> Zh <br /> IGNATURE OF NOTARY <br /> OPTIONAL <br /> Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent <br /> fraudulent reattachment of this form. <br /> CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT <br /> INDIVIDUAL <br /> ❑ CORPORATE OFFICER Affidavit <br /> Trustee TITLE OR TYPE OF DOCUMENT <br /> TITLE(S) <br /> ❑ PARTNER(S) ❑ LIMITED <br /> ❑ GENERAL 1 <br /> ❑ ATTORNEY-IN-FACT NUMBER OF PAGES <br /> RXI TRUSTEE(S) <br /> ❑ GUARDIAN/CONSERVATOR <br /> ❑ OTHER: <br /> DATE OF DOCUMENT <br /> SIGNER IS REPRESENTING: <br /> NAME OF PERSON(S)OR ENTITY(IES) None <br /> SIGNER(S)OTHER THAN NAMED ABOVE <br /> --------- - - ------- --------- - - ----- <br /> ©1993 NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O.Box 7184-Canoga Park,CA 91309-7184 <br />
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