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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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1250
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2900 - Site Mitigation Program
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PR0507153
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Last modified
6/22/2020 9:03:24 AM
Creation date
6/22/2020 8:46:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0507153
PE
2950
FACILITY_ID
FA0007717
FACILITY_NAME
THRIFTY OIL #171
STREET_NUMBER
1250
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11731001
CURRENT_STATUS
02
SITE_LOCATION
1250 N WILSON WAY
QC Status
Approved
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EHD - Public
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I <br /> License Detail Page 2 of 2 t <br /> AMERICAN CONTRACTORS INDEMNITY COMPANY. <br /> Effective Date: 01/01/2004 <br /> Contractor's Bond" Histo_ry <br /> BOND OF QUALIFYING INDIVIDUAL(1): This license filed hBond of Qualifying Individual i <br /> 182158 for RICHARD ALLEN MORECRAFT in the arriountof$7,500 with the bonding co <br /> AMERICAN COffe RAve Date: 4I07120pITY_COMPANY. <br /> 3 <br /> * * * Workers Com ensation <br /> P Information <br /> t� :N <br /> This license has workers compensation insurance with the <br /> HARTFORD_FIRE_IN_SURANC _ <br /> E. COIVIPANY ; <br /> Policy Number: 22WBVRM7131 Effective Date: 04/01/2004 Expire_Date:'041011200� <br /> Workers CompensationHisto <br /> Personnel listed on this license current or disassociated are listed on other licell <br /> I <br /> Personnei._List Other..Licen les. ' <br /> { <br /> I <br /> License_Nu_mber_Request Contractor Name_Request Personnel Name Request <br /> . - ---- -- <br /> Safesperson_Request Salesperson,Name Request <br /> 2005 State of California.Conditions-of <br /> Use Prw_acy Policy <br /> !i!t <br /> T� <br /> i <br /> i <br /> I <br /> +� I <br /> i} I <br /> j� <br /> I� <br /> I <br /> IS I <br /> i <br /> http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 2/7/2005 <br />
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