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COMPLIANCE INFO_CASE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEBER
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2900 - Site Mitigation Program
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PR0522375
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COMPLIANCE INFO_CASE 2
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Last modified
5/19/2021 9:54:34 AM
Creation date
5/19/2021 8:41:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
FileName_PostFix
CASE 2
RECORD_ID
PR0522375
PE
2950
FACILITY_ID
FA0015242
FACILITY_NAME
WEST WEBER REDEVELOPMENT PROJECT
STREET_NUMBER
1404
Direction
W
STREET_NAME
WEBER
STREET_TYPE
AVE
City
STOCKTON
Zip
952033115
APN
14519008
CURRENT_STATUS
01
SITE_LOCATION
1404 W WEBER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of - t&C v- kf,vl�_ _ ss. <br /> On tJ� ( <br /> before me, � ltin ��ytit S t�r4 <br /> Data I- (( '' ^^Name `Title of officer( g,.'Jaro oce,Notary Puoli ) <br /> personally appeared E� 1 i&be-4k n' y oor Qe S <br /> Names)of Sgner(s) ' <br /> ;'�yersonally known to me <br /> O proved to me on the basis of satisfactory <br /> evidence <br /> to be the person(s) whose names)6are <br /> TIPHANYFARFCB subscribed to the within instrument and <br /> rC0011.Hi00M acknowledged to me that he/4&/they executed <br /> NOW(Y�l`WWA4WwnIs the same in his their authorized <br /> VMY COt LftAug 4201 capacity(ies), and that by his their <br /> signature(s)on the instrument the person(s),or <br /> the entity upon behalf of which the person(s) <br /> acted, executed the instrument. <br /> WITNESS my hand and official <br /> seal. <br /> Place Notary Seal Above <br /> Slgra'urefffl Ndary pyWfc — <br /> OPTIONAL <br /> Though the information below is not required by law,it may prove valuable to persons relying on the document <br /> and could prevent fraudulent removal and reattachment of this form to another document. <br /> Description of Attached Document <br /> Title or Type of Document: <br /> Document Date: Number of Pages: <br /> Signer(s)Other Than Named Above: <br /> Capacity(ies)Claimed by Signer <br /> Signer's Name- <br /> 1 <br /> ame-1 Individual <br /> CI Corporate Officer—Tide(s): _ Top of thumb b here <br /> Partner—-1 Limited I I General <br /> L 1 Attorney in Fact <br /> C Trustee <br /> L] Guardian or Conservator <br /> L Other: <br /> Signer Is Representing_ <br /> O 1999 NaponM Nobry A6soca!,on•9350 Oe Soto A...P.O.B.2402•ChAft—M CA 913132402•ww.nelpne!nctary org Prod.Ne.5907 <br /> 11e01dr:Call T.9-F—!800-6i6-8827 <br /> DoPORTANT <br />
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