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UAR/PROP 65_PRE 2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0501326
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UAR/PROP 65_PRE 2019
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Entry Properties
Last modified
12/17/2020 12:13:32 PM
Creation date
11/4/2018 5:11:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
UAR/PROP 65
FileName_PostFix
PRE 2019
RECORD_ID
PR0501326
PE
2381
FACILITY_ID
FA0005067
FACILITY_NAME
DERICKSON TRUCKING
STREET_NUMBER
15658
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908045
CURRENT_STATUS
02
SITE_LOCATION
15658 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\15658\PR0501326\UAR_PROP 65.PDF
Tags
EHD - Public
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PHS/54+OAWIN CCUNTY - ENVIRONMENTAL HEALTH DIVIS(o.... <br /> CCNTAML.A.ED SITE 0-3ase MFR INPUT FORM <br /> UPDATE: / 9 / Z BY: REVI EWEO 8Y: DATE ENTERED: L•/ / �j / �v SY: <br /> SWEEPS/SITE CODE / / PROGRAM/ELEMENT a 3�ZJ COMP N `�tL/ 5 IOC CODE /f OI ST s 3 2� <br /> UGT FILE PILOT FILE H W FILc SITE MITIGATION PWS FILE PRIV WELL FILE ENV ASSESS <br /> SOLID WASTE H2O O FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGHCT/UN1T // SJ/ER CONTACT DNS CONTACT - - <br /> OTHER CONTACT V RWCS CONTACT WOR issued Y / N NPOES issued Y / N <br /> FAIL-0 PT . SOIL CONT y-9L GW CONT OW CONT ETROLEUM T / N <br /> SUBSTANCE X1 ©�l/ul.3 02 Z C)'s Y3 94 $5 <br /> PRICR FAILED PT NO ACTION CLEAN UP COMPLETE DATE ENFORCEMENT ACTION Y / N <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> SITE NAME -- <br /> C:r c <br /> ACO RE Ss c-P/to Q{ a <br /> CITY �, 4, 1STATE ZIP C Z� <br /> CONTACT NAME G✓• /� e ���kSDn PHONE <br /> PROPERTY OWNER <br /> COMPANY NAME L PHONE <br /> Gr✓I'1 <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> C11Y STATE ZIP <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> UAR : DATE 1(2 a y_ y PRCP 65 # DATE /Q_ (''� PRIORITY <br /> STREET At S6 5 b' SITE STREET APN x <br /> EH 23 070 (7/89)REVTSED 03/91 89-19(IV) CNTMFRZ <br />
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