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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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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
Scanner
WNg
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EHD - Public
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6 !� <br /> SAN JOAQUIN COUNTY • PUBLIC HEALTHSERVICES/ENVIRONMENTAL HEALTII DTVI 41 6n/,Q <br /> SITE MITIGATICfI/ASSESSMENT SUBMITTAL LOG <br /> rr,,`` LEAD AGENCY <br /> SITE AD�JDI W --- __'— <br /> AGENCY CONTACT <br /> CONSULTANT CO PHONE WAREA CD <br /> PHONE— <br /> CONTACT NAME --- <br /> PHONE <br /> OTHER CONTACT NAME or INFO <br /> �71� ( I <br /> SITE CODE # PRO;/ELEMENT L-- BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: Al2, <br /> DATE <br /> DATE RECEIVED ( $( 9 Z DATE ON SUBMITTAL I (�Z OT REQUEST l_--- OT REQUEST DATE <br /> TYPE Of SUBMITTAL <br /> CODE TYPE OF SUBMITTAL CODE <br /> 1 PERMIT APPLICATION w/o WRKPLM 10 _ PERMIT FEE PD CK #/CASH <br /> RE-EXCAVATION WKPLN DATE <br /> SITE ASSESS WiKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> OTHER WRKPLII w/o PERMIT ACTIVITY 16 E <br /> ASSESSMENT REPORT O3 <br /> ASSESS RPT W/WKPLN <br /> 4 OTHER AGENCY REPORT 17 S <br /> LETTER 10 F <br /> REMED ACTI011 PLH (RAP) 5 <br /> DATE <br /> ASSESS RPT u/RAP <br /> b PUBLIC PART IIITO 19 REVIEW FEE PO CK ;Y/CASH <br /> FINAL REMED PLN (FRP) 0 _ <br /> A <br /> ORTLY RPT/POST REMED MONITORING 9 <br /> OT SCHEDULED: OT CCMPLETED: <br /> STAFF REVIEW DUE: _/ /__ _ --- <br /> -" —yflCT ION DATE <br /> ACTION DAT F: I <br /> ACTION DATE _ <br /> --- -_�_ 1 <br /> ACKNOWLG/COMMTMNT LTR REQSTD <br /> INCCMPLETE/ADDTNL INFO RECSTD SRP DUE ACKNOWLG/COMMTMNT LTR RE ��- <br /> REVISION REOSTD PR DUE <br /> CVD <br /> RWOCO COMMENTS <br /> 0.EPORT REVIEW COMPLETE PAR DUE <br /> FILE/NO ACTION TRP DUE <br /> OTHER AGENCY APPROVAL <br /> REVISICN DUE <br /> ADDENDUM/ADDTNL INFO REM DENIED <br /> SPECIAL PERMIT ISSUED —_— OTHER AGENCY DUE DATE <br /> PERMIT ISSUED W / B <br /> COMMENT LTR SENT M PROJECT CCMPLETE/F111AL 0111 <br /> WORKPLAN REVIEW COMPLETE ------ <br /> EH 29 03 (PLNLOG revised 5/91) <br />
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