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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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BENJAMIN HOLT
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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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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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aquiN <br /> Michael Infurna, Senior REHS <br /> Unit IV- Site Mitigation / LOP bR�� <br /> 304 E Weber Avenue <br /> 5th Floor, Stockton, CA 95202 <br /> Office Phone: (209) 468-3454 FAX# (209) 468-3433, <br /> Email: minfurna@sjcehd.com <br /> FAXDate: 5 <br /> # of Pages (including this sheet): <br /> To: 6/�Z FAX #: ( �04 /✓�' lP 7 cI <br /> Of: <br /> Comments. <br /> mike <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the.message to us. Thank You. <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 513-02 <br />
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