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SITE INFORMATION AND CORRESPONDENCE
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0540111
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/27/2019 4:34:55 PM
Creation date
2/27/2019 2:33:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0540111
PE
2950
FACILITY_ID
FA0022934
FACILITY_NAME
PCCP MOUNTAIN HOUSE PROPERTY
STREET_NUMBER
0
STREET_NAME
MOUNTAIN HOUSE CENTRAL
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
MOUNTAIN HOUSE CENTRAL PKWY
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Facility lo: Billing Account lo: <br /> Record ID: SROOT11B9 --� Update ahlrts <br /> Facility Name: <br /> She wcatwon CENIRAk PKWYOFF GMNILINE ROAD <br /> Copy Add.Wltan end a mil"waw <br /> Entered date: 5/13/2015 Entered by: IDUNCA Update date: 5/13/ZOl Update by: LDUNCAN <br /> Lo¢ and Orme,Infamatlon <br /> Property owner: FCCP NOUNTAIN OUSE ILC <br /> Number: Direction: (mile) Street name: CEMPAL FIMT OFF GWWILIN Street type: (mm) <br /> Unit typo: Unit: AM:JZD906099 <br /> City:I NOUNfAIN HOUSE Stater ZIP Cade: 95391 <br /> Country: UNMSTAM LgcaUon: (none) District code: EWOIT,BOB <br /> Phone 1: Phone 2:F-- <br /> Aba,estor Inforrbiftlon <br /> Request.,: <br /> Business name: <br /> Requestor addmas: <br /> city: (nine) State:�� ZIP Code: <br /> Requests Phone: <br /> Na0irt of Sevke ... <br /> Natureof seryl[.: WORK PIAN REVIEW AND PERMIT ISSUANCE <br /> P/E Code: 2903 PIE DescilpUon: MWITORING WEIL WSPECIIONACOVIliFS <br /> •Leak Detector •Benaor Soil Bucket •Drop Tube •COM Fart •SecaidarY CaMxinment Other: <br /> Recelyed by: IqU WNCAN Date: 5/138015 <br /> Assl9ned to: LORI WNCAN Date: 5/13/2015 <br /> Plan type: (mile) <br /> ------------------- <br /> Amount paid:F $390A0 Check number:fCC 501325[ Arthived: (noire) <br /> Due date: Requh¢furtheractl.n <br /> Seryice Request Approval Dates <br /> 5 <br /> Add an Even[ <br /> end o fHOFM P,oread b.1 <br /> an Check <br />
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