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WP0039720
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039720
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Entry Properties
Last modified
7/8/2020 12:23:35 PM
Creation date
7/8/2020 12:13:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039720
PE
4373
STREET_NUMBER
137
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
19817026
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
137 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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CALIFORNIA DRIVER LICrNSE <br /> i% a-85866 6 <br /> CLAsB C <br /> 06112/2021 s:0 NONE <br /> MCMiLLAN <br /> TYLOR JOE WILLIAM <br /> 12302 ANDES AIDE <br /> 6AKERSRELD,CA 93112 <br /> Boa 06M211982 <br /> a-sTR NONE 06121982 <br /> SEX M IGT -eRN £ 8FIG-1 6' <br /> FIG-1 V1GT 2251b Iss <br /> DD oS M201"G000ICCFn(2f 0511012015 <br /> y <br /> State of Ca6lomla <br /> Division of Occupational Safety and Health <br /> 1367 E.Lassen Ave_,Suite B-4 <br /> Chico,CA 95973(530)895.6938 <br /> No 9201 <br /> TYLOR JOE WILLIAM MCMILLAI-c.a6/12/82 <br /> is hereby certifiedmcensed as a BLASTER <br /> Classification: (E) LIMITED: WELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Limitation: NOHLECTRIC INITIATION ONLY. <br /> This certification or license may be suspended or revoked if the holder <br /> violates the safe- ,orders or regulations of the Division. <br /> ` 1=xpires:4/05/21 <br /> tJrratur.6fNolder <br /> ate of <br /> 4/05/16 <br /> Issued o n as ry issue �— <br /> 0"1 6553 Rev.2012 <br /> Federal Explosives License/Peimir —� — <br /> (FEL)Information Card <br /> 1 License"Permit Name:TYLOR MCMILLANS WELL SERVICES LLC <br /> I <br /> t <br /> I Business Name: <br /> t <br /> t <br /> t LieenseTermit Number:9-CA-029-33-1 A-02PP8 <br /> - <br /> License/Permit TYpe:33-USER OF©(PLOSIVES <br /> 1 <br /> Expiration: January 1,2021 <br /> I <br /> 1 I <br /> I Phase Note: Not t'a]idforthe Sale or Outer Disposition ofEaplosives <br /> 1 <br />
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