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REMOVAL_2001
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0516775
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REMOVAL_2001
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Entry Properties
Last modified
9/25/2019 9:18:40 AM
Creation date
11/2/2018 9:39:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2001
RECORD_ID
PR0516775
PE
2381
FACILITY_ID
FA0012795
FACILITY_NAME
ROSENTHAL TRUST/BUILDING
STREET_NUMBER
24
Direction
S
STREET_NAME
AMERICAN
STREET_TYPE
ST
City
STOCKTON
Zip
95201
APN
14918005
CURRENT_STATUS
02
SITE_LOCATION
24 S AMERICAN ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\AMERICAN\24\PR0516775\REMOVAL 2001.PDF
Tags
EHD - Public
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12. What is the depth to groundwater? 30 feet <br /> Describe the source of information: <br /> local ground water monitoring wells <br /> 13. Are there any water wells on this parcel or adjacent properties? YES ( [ NO [ <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well 2 ,000 ft. <br /> Private Well ?? ft- <br /> Irrigation <br /> tIrrigation Well ?? ft <br /> Monitoring Well 500 ft <br /> Other ft <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ 1 NO( 1 <br /> 14;. Indicate the responsible party to be billed for additional PHS-EBD staff time expended beyond 3 hour minimum <br /> permit payment per tank. If the party designated below is different than the permit applicant. e.g. property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Rosenthal Trust c/o Bank of STockton <br /> Name <br /> Mailing Address PO Box 1110 Stockton (A 95901 <br /> Day Phone Number ( 209 ) 929-1 59(. <br /> Bank of Sta3ttm Trust DspsrtrTEM, as Trustee of the Mike Rosenthal Testattntar.XT'cust, as its interest ray air <br /> Al <br /> BIgn?r�Lll. l Tt lra4ture Title Date <br /> J� . <br /> tot�i� cr <br /> EH 23 046 (Revised 9/11/96) Page 6 <br />
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