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UAR/PROP 65_PRE 2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231042
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
4/1/2020 11:52:58 AM
Creation date
11/2/2018 4:20:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0231042
PE
2381
FACILITY_ID
FA0003613
FACILITY_NAME
ARCO STATION #4493*
STREET_NUMBER
205
Direction
N
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13909003
CURRENT_STATUS
02
SITE_LOCATION
205 N CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CENTER\205\PR0231042\UAR_PROP65.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE CO�� <br /> HEALTH & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: I II III PHS-EH LOG # 7 S — �D <br /> (Eifcle One) <br /> B. SOURCE OF INFORMATION <br /> Name: &4 Z�o/�. Phone: C__,) <br /> Company: A-?,o <br /> Address: ?�Zai o3 <br /> Designated Employee Name: 1 Phone: bI <br /> Reporting Agency Name:—`�- CT, ro' <br /> Address:_ - ,J e ba A� --3 -S,4 cA..� , c,+ s.\z-v Z. . <br /> C. LOCATION AND DATE OF DISCHARGE <br /> Location: 7-o,,7 c% (-O, _lz.- S� / <br /> (Best Physical Description) Cary or County) Circle One <br /> Date of Discharge: �,/) - z sl S <br /> Date Notified: _ /0- -9.r Time: 3-,2.o �r f <br /> D. RESPONSIBLE PERSON/BUSINESS <br /> Name of Business: Arre)_T9-3 <br /> Contact Person: _ �,,, /#."r Telephone: .3 <br /> Physical Address: z -7 A-6L <br /> Mailing Address: <br /> E. DESCRIPTION <br /> Type of Discharge: -7&a Siad/ . <br /> Volume: <br /> Chemicals: / <br /> Circumstances:__ <br /> F. ACTION TAKEN <br /> SITE DISPOSITION p,,r rtr_Zw r,,f5i11 P2Ed k1d lac u r lu�,aP <br /> EH 22 013 (Rev.4/91) <br />
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