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SU0013075
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SU0013075
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Entry Properties
Last modified
5/21/2020 9:28:02 AM
Creation date
3/23/2020 2:24:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013075
PE
2690
FACILITY_NAME
PA-2000037
STREET_NUMBER
3757
Direction
W
STREET_NAME
KENNER
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25506058, 25506059
ENTERED_DATE
3/9/2020 12:00:00 AM
SITE_LOCATION
3757 W KENNER RD
RECEIVED_DATE
3/9/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
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EHD - Public
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CALIFORNIA ALL= PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br /> document to which this certificate is attached , and not the truthfulness , accuracy, or validity of that document . <br /> State of California ) <br /> County of utll ti ) <br /> On Ifo ! =::;O� before me , Lila <br /> Date Here Insert Nam nd Title of the Officer <br /> personally appeared 6 LJ ar <br /> �� <br /> Name (s) of Signer(s) <br /> who proved to me on the basis of satisfactory evidence to be the person (s) whose name(s) is/are <br /> subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/her/their authorized capacity (ies) , and that by his/her/their signature (s) on the instrument the person (s) , <br /> or the entity upon behalf of which the person (s) acted , executed the instrument . <br /> I certify under PENALTY OF PERJURY under the laws <br /> of the State of California that the foregoing paragraph <br /> is true and correct . <br /> WITNESS my hand rl fficial seal . <br /> 5� L °r >y P. CUNNINGHAM <br /> Notary Public - California Signature <br /> = San Joaquin County n <br /> Commission f! 2232231 Signature of Nota Public <br /> Y ° <br /> C�LIFOIL My Comm . Expires Feb 24 , 2022 <br /> Place Notary Seal Above <br /> OPTIONAL <br /> Though this section is optional, completing this information can deter alteration of the document or <br /> fraudulent reattachment of this form to an unintended document. <br /> Description of Attached Document <br /> Title or Type of Document : Document Date : <br /> Number of Pages : Signer(s) Other Than Named Above : <br /> Capacity( les) Claimed by Signer(s) <br /> Signer ' s Name : Signer ' s Name : <br /> ❑ Corporate Officer — Title(s) : ❑ Corporate Officer — Title (s) : <br /> ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General <br /> ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact <br /> ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator <br /> ❑ Other : ❑ Other : <br /> Signer Is Representing : Signer Is Representing : <br /> ©2014 National Notary Association • www . NationalNotary . org • 1 - 800 - US NOTARY (1 - 800 - 876 - 6827) Item # 5907 <br />
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