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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3011
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2900 - Site Mitigation Program
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PR0530063
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/6/2019 3:55:34 PM
Creation date
2/6/2019 3:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0530063
PE
2957
FACILITY_ID
FA0019769
FACILITY_NAME
FORMER SHELL GAS STATION
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
01
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Pkea print or 1 .(Form 6h. gnoo Car use on a8}e j12- di) -) • <br /> UNIFORM HAZARDOUS t Omranaw lD Nwnnar Form Approved.OMB No.2060-DW9 <br /> 7.page i ai $.F.nop}dnaY Raspraim Phcmn 4. <br /> WASTE tr1hNIFE5T <br /> Mspiking Nam6V JK <br /> s`naralr,Y;;Namv arv3 Mdik+ai Addrasa <br /> `k 'C4 f-NVKWls Gmis+a}m's SimAdAreys(adnlotarN amn maahig addI <br /> tkmUM 1'X 1#1U i41 Mit <br /> int r s; <br /> Gewualw's Nhme <br /> B.TGeispirhur fy;anguiayt <br /> ApYg¢cmnR. U,S,EPA 11)Mu bar <br /> agnCa <br /> 7.Trvddr2 �mr!any Namol <br /> U.S,EPA ID Mnb, <br /> 8,Deslgimrwll F�o'dy Hiring and Addieas <br /> U.S.EPA ID Mmnbw <br /> tas ( � C,ASJfip <br /> Fauiitya r <br /> W. 4b.US.D(IT Dre�0nducwp%"r ShIpI Nmna,Hmani CNss,ID Nim ber, <br /> NM ainl f'adr,y G"1 rdaN)J 10,Cgaamar r 11.TOW 12.Unit <br /> I <br /> Na. Type Duantiry MAd. 19.Wow coda <br /> K 1 + **21` MNd 1. �, � <br /> fc( el 9Mi59C�AtirbiR hLC)+ $„ C�1 122 <br /> tl <br /> d <br /> `.a.$MWHarutiry)hwifudOrm aMAcaitio linbnn.'dnn <br /> aeS$ 'Cq - `�ltNkY4t: `ig}, tf"1�Sk�'4DrTC6',i�~irU ` I42t'6Gtyx l °.t'LK <br /> k �1 R#F Ifs 14 qAM 13t4l i r k 8i f39{1I €J rJ 6 . <br /> hXk, <br /> 15 GENE RATOR'StDFFERDR'S CFRTIFlCATIDN: IImalrydarlma arellM anions or mk raulgmmml am NrlfyaM acarcdtalydesupma ahcke py lrya pnipyrabrppiy name,artl xra denssTruvl.paUapr,a. <br /> "w"kad arta 1aM-MailydnGxaaa,vM raa in atl rosFgrus in Won,ccrufiNpn fM bannperl a dlnv to rimki hm"0"190"and an8nn� <br /> Enwhx.icroUry ihallM sxpdeni.Wtfis amsigmmmt ardam to aie xvins al aandiaa EPAAnMnaamlgmnm dCwnauii, gorermrrenlal rneu4ntions:Itaxpwl sip{moni ana lam dm Pdrmry <br /> 1 cmMy aW bo vnrtn rnirdrrartivm atdleamrtl ulentirtM in ae:GFR 26227(a).MIama4n0o MnaddYgwomlw}w(b)Mflamasmati qu'tl1y rMestafw)i bee. <br /> Day <br /> Crtm:x(a�k�x'VCNFcrw's PadedlTppal Nama Gl�amre <br /> iT Ga -J. { t <br /> J t6.hdarnafi9itel Stdpmnsaa <br /> �� <br /> ,z Tmn. ❑Irrguslmtl.S. ❑Egt3Q.kmn U.S. pwl otanl� l <br /> apmtw sapmture(Wr m ,ds wily} ry <br /> Dale leaving <br /> w }L firmaportarAckimWl nyld - olmoks w, ` <br /> K TM7r I" Name a ` <br /> 43, <br /> Traenodorr 2 Pdaen(tgped Nmne Sire 1 <br /> Month Day YWar <br /> 16 @saeparay <br /> Dt''II <br /> 1&a. 'aaepairykdaAlon pm C_...l Ouaniny Ir Type L_1Raaidue <br /> ❑Papal ReM'rt»n ❑Fill RejoMion <br /> 18b.Al1amaln 1I fir Gwrr+ratw7 Mandril Raferwmo NurMmn <br /> U.S_FPA ID NwnUar <br /> G <br /> W Fads 17ir1rm; <br /> w 18n.Sigmmm at Mimole Faoary(w Gwmtatw) <br /> q Month Day year <br /> x <br /> 19.Huadaa WaAN Rtydn 0. rima Motion Codes ke.,cobs yw Imzmrlmic waste hanrmrmE disposal,rind r"Y'"syslI <br /> 0 1. 2 9 d_ <br /> 1 2D hbgffaWtOMMI Cerldeaaen recant OrIMMUwts materials rnrarwl ty ao nmNtastm am 18a <br /> 5lpro <br /> Day Yea <br /> PA Form 8700-22(Rev.&0.5) PICIMUS editions aro obsolete. <br /> TRANSPORTER'S PY <br />
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