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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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7647
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2900 - Site Mitigation Program
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PR0505534
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
3/31/2020 4:27:15 PM
Creation date
3/31/2020 4:07:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0505534
PE
2950
FACILITY_ID
FA0006840
FACILITY_NAME
TOSCO SUPER T MARKET
STREET_NUMBER
7647
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07748014
CURRENT_STATUS
02
SITE_LOCATION
7647 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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894318 <br /> GOVERNMENT CODE 27361.7 <br /> I certify under the penalty of perjury that the notary seal on the <br /> document to which this statement is attached reads as follows: <br /> Name of Notary -Jacc { <br /> Date Commission Expires <br /> Place of Execution CCkx0Jq <br /> Date of Execution <br /> Signature Firm name if any <br /> (Attorney in Fact) OFFKIAI SC-AL <br /> JACO-ELINE C.SOMNSEN <br /> 0 <br /> NOTARY PUBLIC-CALIFCRNIA <br /> STATE OF CALIFORNIA SAN MATEO COUNTY <br /> 'COUNTY E I COUNTY OF ��Q/� •( ` My COf"WICN EXP.JULY 1, 1991 <br /> 0 <br /> U On / / before me, the undersigned,a Notary Public in and for said State. <br /> P personally appeared_ Npl Sin Fln�—x]r personally known to me <br /> U 'w (or proved to me on the basis of satisfactory evidence).to be the person_, whose name_ 1 S <br /> e lw subscribed to the within instrument. as the Attorney—in fact of A- (irkrdi npr Jnnps <br /> W and acknowledged to me that h_subscribed the name <br /> D J <br /> of A. Gardiner Jones thereto as principal_ <br /> h r, <br /> m and fl l S own name as Attorney_ in fact. �--ti••---.:.-•>.-..,-.;. <br /> E WITNESS my hand and official seal. a •1 �C kK _'07F Pt <br /> Signature �- ((n•„�,� SAN <br /> MATED CCL�1T( <br /> r (' tfY COft" S-0101 Ex0.,lW.Y 1. ;991 <br /> I jilt..�.� f <br /> 1 ame (Typed or Printed) <br /> OFC - 2055 <br /> I This area for official notarial seat) <br /> MAIL TAX STATIiMENTS TO PARTY NHuwN v)v EU ABOVE. <br /> Name Street Address City & State <br /> AP0730 <br />
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