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WP0039724
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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WP0039724
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Entry Properties
Last modified
7/29/2020 4:00:21 PM
Creation date
7/29/2020 2:54:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039724
PE
4373
STREET_NUMBER
177
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95337-
APN
19817021
ENTERED_DATE
6/18/2019 12:00:00 AM
SITE_LOCATION
177 N AIRPORT WAY
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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TSok
Tags
EHD - Public
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CALIFOWNIA DRIVER LICEt4SE <br /> =. <br /> 0611212021 _ NONE <br /> MCMILLAN <br /> TYLOR JOE WILLIAM <br /> 12W2 ANDES AVE <br /> EAKERSRSLO,CA 93312 <br /> �.'.' oos 06/1211952 <br /> " RSTa NONE 05121982 <br /> ICY <br /> SEX M HAIR BRN &5 BLU <br /> HGT V-01" WGT 2251b !SS <br /> .7,70SYUrlGtiiG60iMCfDR7 Q9SQ12016 <br /> State of California <br /> \� Division of Occupational Safety and Health <br /> �? 1367 E.Lassen Ave_,Suite B-4 <br /> d Chico,CA 95973 (530)895.6938 <br /> No.9201 <br /> TYLOR JOE iIILLIAM MCMILLAI&O.B 6/12/82 <br /> is hereby certifiedlrcensed as a BLASTER <br /> Classification: (E) LIMITED: 14ELL 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 or regulations of the Division. <br /> Expires:4/05/21 <br /> ,gnatur �1 Holder <br /> i <br /> ale of 4/05/16 <br /> Issued <br /> �on ea t,us _BT <br /> Os' <br /> 1 6503 Rev.2012 <br /> Federal Esplosn es License/Permit(FEL)Information Card <br /> ILiceilm Permit Name:TYLOR MCMILLANS WELL SERVICES LLC <br /> t <br /> t <br /> Business Name: <br /> I <br /> 1 <br /> I License/Permit Number 9-CA-029-33-1A-02228 <br /> 1 _ <br /> License/Pemlit T}ape:33-USER OF <br /> EXPLOSIVES <br /> 1 <br /> Expiration: January 1,2021 <br /> 1 � <br /> 1 Phase Note: Not Valid forthe Sale or Other Disposition of Fxplosives j <br />
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