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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BANTA
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26501
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2900 - Site Mitigation Program
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PR0505092
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SITE HISTORY
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Last modified
2/5/2019 4:53:37 PM
Creation date
2/5/2019 4:48:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0505092
PE
2960
FACILITY_ID
FA0006532
FACILITY_NAME
LYOTH LOADING STATION/CHEVRON
STREET_NUMBER
26501
Direction
S
STREET_NAME
BANTA
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
26501 S BANTA RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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ib0' t HaZritui 7 FiVe. , P.A. Eox <br /> Stockton, CA 35201 <br /> (2i?3) 46 -3'.1,25 <br /> c,,gi Khanna, M.D. , Health Officer <br /> HOFFM16 <br /> RAIL HOFFMAN & SONS PAIUL HOFFMAN & SONS <br /> 6577 S. BANI A ROAD 26571 S. BAN I A ROAD <br /> TRACY CA 35376 TRACY, CA 35376. <br /> Billing Statement For 1959 Permit, Uiider-ground Tank Facility . <br /> Statement Cute ,:r,,iy 1, <br /> P'a'yment. Due Date: August. 1.. 1135'3 <br /> F&CIllty fee; 100.00 <br /> Container Number0001 50.00 <br /> 000,2 50.00 . <br /> 0003 SO.00 <br /> 0004 50.00 <br /> TOTAL FEES DUE $100.00 <br /> NOTES i <br /> Notify the Sari Joaquin Local <br /> Health District of any <br /> cori"ect.ions or charges <br /> necessary . Your permit will <br /> be (isailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> Copy of this statement to; <br /> SAN - ,,1a LOCAL t� , — r.— - <br /> :,Hf .tCs�W IiiJ LCt..rL HEALTH Lf IRl�.i <br /> ENV1R.;NM;-: 1TAL HEALTH PERMIT/SERVICES <br /> r.0. BOY, 110,13 <br /> S OCKTON, Com. ':''=<<J1 <br /> Penalties will be added alter <br /> due date as shown, <br /> =J days - 10V.4 of Base Fee <br />
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