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ARCHIVED REPORTS XR0012563
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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ARCHIVED REPORTS XR0012563
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Entry Properties
Last modified
3/5/2019 1:33:30 AM
Creation date
3/4/2019 2:42:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012563
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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ISM <br /> - <br /> Wall <br /> ., <br /> r� <br /> w. <br /> Y'x <br /> SAN JOA <br /> 1 Jamoy Out <br /> QUIN LOCA <br /> ZIiGR,Praa. L HEAL 1�"I �.iwrpl{rT <br /> ►Aary&nor e�>;.t.Vice Pew, a 5ERVIIii <br /> TomPat my E;�n'uCck socy. �Z501 East Hazelton Avenue,P.Q.Sex 20t city of La, <br /> ad ,�>.r:a San4vaqutnCount <br /> +�P11nowat Slocklan,California 95201 ran Joaquin cant <br /> Virginia Mathowt Ctty of Eaoato <br /> 0ar.1a1 L FWn (209)466-6781 City of Mantte. i <br /> r hn t7,M�81,M.O. City of Rips. { <br /> ea 6.Kerharn Jul;,f(haerna,u-0,M.P.M,motrlcl Magrh omcerCity of slacktar <br /> r}t, <br /> City of Tr+cl <br /> San.eoagain Count) <br /> AuT.fORIZATION TO RELEASE ANALYTICAL RESULTS, 'GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFUItMATION <br /> I, the undersigned owner and/or operator of the <br /> located at 7,p 'We4 CJ--.v+.#,, <br /> hereby <br /> and/or facility <br /> hereby authorize _ `Qa l{a Fw�i S1Ur. -. C;Q- <br /> to release an Cte <br /> y and all analytical results <br /> asseSsment information to the Sun Jaaq>rin�Lgeotechnical <br /> cal He x th lDXs to and site <br /> as it is available and at the same time District as soon <br /> representative. it is provided to me or my <br /> Own er/oPe r a t o: : <br /> i <br /> .-.Address T4 tle: f� <br /> Phone: <br /> Data: SHELL OIL COMPANY <br /> P.O. Box 13378 <br /> Sacra ento, CA 95853-38T <br /> 8 <br /> LH 23 041 3/86 <br /> ' t <br /> j <br /> I <br /> I : <br /> `-Ml <br /> f <br /> G'TION OF: MffS <br /> CANNff BE <br /> IMKUM DM <br /> COMM CN OF TW, <br /> T� <br /> OKGM& <br />
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