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WP0040651
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040651
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Entry Properties
Last modified
5/18/2020 4:55:31 PM
Creation date
5/18/2020 4:49:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040651
PE
4374
STREET_NUMBER
3458
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
LATHROP
Zip
95330-
APN
24140011
ENTERED_DATE
3/19/2020 12:00:00 AM
SITE_LOCATION
3458 W YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CALIFORNIA"' DRIVER LIcIENSE <br /> DL B8686676 <br /> 4 fal ASs C <br /> F"xP 0611212021 END NONE <br /> 1 u MCMILLAN <br /> R Eu TYLOR JOE WILLIAM <br /> 12302 ANDES AVE <br /> k� BAKERSFIELD,CA 93312 <br /> Doe 06112/1982 <br /> RSfR NONE 06121982 <br /> ^ <br /> SEX M HAIR BRN EYES BLU <br /> HGT 6'-01" WGT 2251b ISS <br /> DD 051012016660061CCFU21 '-0511012016 <br /> y <br /> State of California <br /> Division of Occupational Safety and Health <br /> 1367 E.Lassen Ave.,Suite B-4 <br /> e. Chico,CA 95973 (530)895.6938 <br /> N0.9201 <br /> TYLOR JOE WILLIAM MCMILLA16.p86/12/82 <br /> is hereby certified/licensed as a BLASTER <br /> Classification: (E) LIMITED: WELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Limitation: NONELECTRIC INITIATION ONLY. <br /> This certification or license may be suspended or revoked if the holder <br /> violates the safe ;orders r regulations of the Division. <br /> ~/ <br /> ` <br /> Expires-4/05/21 <br /> g`natur &Ho1der <br /> ate of 4/05/16 <br /> Issued O n ea Issue bA <br /> OSP 1 _8563 Rev.2012 <br />
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