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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACKSON
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2501
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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8/9/13 dikecka License- License Detail - Contractors State LiceglilligBoard <br />Effecti ate: 06/27/2011 <br />Bonding <br />Contractor's Bond History <br />f,Ts i,r • • ht l01� rk-1-01NI111fU�l <br />1. The Responsible Managing Officer (RMO) WOODS CLIFFTON LLOYD certified <br />that he/she owns 10 percent or more of the voting stock/equityofthe corporation. <br />A bond of qualifying individual is not required. <br />Effective Date: 02/08/2012 <br />BQI's Bond History <br />This license has workers compensation insurance with <br />GRANITE STATE INSURANCE COMPANY <br />Workers' Compensation Policy Number: WC001647633 <br />Effective Date: 11/01/2012 <br />Expire Date: 11 /01 /2013 <br />Workers' Compensation History <br />Personnel listed on this license (current or disassociated) are listed on other licenses. <br />Person I Other Licenses <br />Conditions of Use I Privacy Policy <br />Copyright © 2010 State of California <br />https://wm v2.cslb.ca.gov/OnlineServices/ChecK icensell/LicenseDetaiI.aspx.?LieNurrr-779267 2/2 <br />
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