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REMOVAL_2002
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0519032
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REMOVAL_2002
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Entry Properties
Last modified
9/25/2019 9:18:55 AM
Creation date
11/5/2018 12:15:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2002
RECORD_ID
PR0519032
PE
2381
FACILITY_ID
FA0014240
FACILITY_NAME
BECKREST, KAREN D
STREET_NUMBER
16500
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05310016
CURRENT_STATUS
02
SITE_LOCATION
16500 E BRANDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BRANDT\16500\PR0519032\REMOVAL 2002.PDF
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EHD - Public
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12. What is the depth to groundwater? <br /> Unknown by contractor. <br /> Describe the source of information: <br /> 13. are there any water wells on this parcel or adjacent properties? YES NO ) <br /> F <br /> S I DIST-l"NIE TO TANSS(S)I �1180 I—ll I ft.ell �I ft <br /> 11. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?YES(j NO( <br /> ed beyond 3 hour minimum <br /> ent <br /> 15. Indicate the resthep parry <br /> le designated beloto be w s diffed for rent than the permonal PHS-EHD it applicant,e.g.dproperty owner,the party mustacknowe dge <br /> per tank. If the party gn <br /> this responsibility for the billing by signature and date below. <br /> L.R Varwig <br /> Name <br /> P.O. Box 99320, Stockton, CA 95209 <br /> Mailing Address <br /> Day Phone Number 209 993-6110 <br /> Title Date <br /> EH 23 046 (Revised 08/13,99) Page 6 <br />
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