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CO0055313
Environmental Health - Public
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2200 - Hazardous Waste Program
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CO0055313
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Entry Properties
Last modified
10/25/2022 3:03:11 PM
Creation date
10/20/2022 9:49:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0055313
PE
2200
STREET_NUMBER
11366
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95376
ENTERED_DATE
10/19/2022 12:00:00 AM
SITE_LOCATION
11366 W LINNE RD
RECEIVED_DATE
4/29/1986 12:00:00 AM
QC Status
Approved
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EHD - Public
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SIGNATURE <br /> I certify under penalty of perjury that 1 arr (check one ) : <br /> Q Legal owner (s ) (All owners must sign as their names appear on the <br /> deed . ) , <br /> EJ corporate Officer (s ) empowered to sign for the corporation, <br /> Owner ' s legal agent (attach proof of the owner ' s consent to <br /> file the application ) , <br /> and that the foregoing is true and correct . r <br /> //'(1 Gk�iAs+ ( Z C� — 1 <br /> (Signature ) ( Date ) <br /> (Signature ) (Date ) <br /> Development Plan - 7 - ( 7/85 ) <br />
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