My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WOODWARD
>
20801
>
4200 – Liquid Waste Program
>
PR0420073
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/27/2025 3:31:44 PM
Creation date
8/5/2020 10:14:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0420073
PE
4242
FACILITY_ID
FA0001053
FACILITY_NAME
ISLANDER MARINA
STREET_NUMBER
20801
Direction
S
STREET_NAME
WOODWARD
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
24125033
CURRENT_STATUS
01
SITE_LOCATION
20801 S WOODWARD AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\W\WOODWARD\20801\PR0420073\INSPECT CORRESPOND.PDF
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
85
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DECLARATION OF CUSTODIAN OF RECORDS <br /> ( )I HEREBY DECLARE under penalty of perjury that the following statements are true to <br /> the best of my knowledge and belief. <br /> I am the duly authorized custodian of records of the below named and I certify that the <br /> accompanying records are true and complete copies of records maintained in the regular <br /> course and scope of business of my employer and were prepared by authorized personnel at <br /> or near the time of the acts, conditions or events which they intend to convey. As custodian, I <br /> testify to the records identity and method of preparation. The source of the information and <br /> method of preparation were such as to indicate their trustworthiness. If I were called as a <br /> witness in this matter, I could and would testify under oath to these facts. No documents, <br /> records or other things have been withheld except as noted below. <br /> Certain records were omitted because <br /> OR IN THE ALTERNATIVE: <br /> ( ) I HEREBY DECLARE under penalty of perjury that I have NO RECORDS <br /> concerning ISLANDER MOBILHOME PARK. <br /> Please explain if you have no records: <br /> { ) I have no X-RAYS or other diagnostic films. <br /> ( } I have no BILLING RECORDS, <br /> Records Subpoenaed From: SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPT. <br /> Concerning: ISLANDER MOBILHOME PARK Date <br /> DOB: <br /> ID No.: <br /> HOW ORIGINAL RECORDS WERE PREPARED: Signature of Custodian <br /> ( } Handwritten notes <br /> ( )Typed or Data Entered <br /> ( }Transcribed <br /> { ) Other: Print Name <br /> Records were made during, or promptly <br /> after the act, condition-or event reflected <br /> in such records. <br /> COPYPRO, DIVERSIFIED LEGAL SERVICES, INC. <br /> 4665 PARK BLVD.,SAN DIEGO,CA 92116 <br /> Phone: (619)260-0309 Fax: (619)260-0316 0"*P.104828-72ICPR00F7 <br />
The URL can be used to link to this page
Your browser does not support the video tag.