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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0505092
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/5/2019 4:57:53 PM
Creation date
2/5/2019 4:48:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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
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EHD - Public
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U0� Emcon 0 0 <br /> 4233 W.Sierra Madre • Suite 210 • Fresno, California 93722-3995 • (209)275-4968 • Fax(209)275-5181 <br /> TRANSMITTAL <br /> Project/Task No. nAr,�-nn4 n2 <br /> TO: Margaret laqnrin DATE: rept , 1995 <br /> San Joaquin Public Health Services <br /> Environmental Health Divisionuull�SS <br /> P.O. Box 388 'iLP 0 b 1995 <br /> Stockton, CA 95201-0388 <br /> ENVIRONMENTAL HEALTH <br /> RE: Well Permit Applications for work at 26501 Banta IT1If9diCES <br /> WE ARE SENDING: <br /> QUANTITY DESCRIPTION <br /> -3- Well Permit Application (in triplicate) <br /> -1- Location Map with location of wells MW-5 and Mw-6 <br /> Access Agreement <br /> -1- Check in the amount of $89.00 <br /> For Your: Sent B <br /> USE X REGULAR MAIL <br /> _, APPROVAL FEDERAL EXPRESS <br /> REVIEW/COMMENTS UPS <br /> INFORMATION COURIER <br /> OTHER OTHER <br /> COMMENTS: This permit application is for two offsite wells MW-5 and MW-6. We <br /> would like to begin work as soon as possible. <br /> Please call George Forsythe or Ann Salsberg (209) 275-4968 if you <br /> have any questions. <br /> CC: <br /> BY: " <br /> Ann Salsberg <br /> Form AD006 ORIGINAL— Recipient YELLOW — EMCON File PINK—Originator 09—Jul-93 <br />
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