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REMOVAL 1995
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CAPITOL
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6421
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2300 - Underground Storage Tank Program
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PR0231706
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REMOVAL 1995
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Entry Properties
Last modified
6/11/2019 3:52:02 PM
Creation date
4/10/2019 11:09:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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12. What is the depth to groundwater? <br />Apprxim tly 10 feet <br />Describe the source of information: <br />Groundwater Technology — 6/25/93 Quarterly monitoring sampling activities report <br />13. Are there any water wells on this parcel or adjacent properties? YES 1$ NO [ ] <br />3 - <br />TYPE OF WELLS <br />DISTANCE TO TANKS(S) <br />Public Well <br />Ct. <br />Private Well <br />ft. <br />Monitoring Well <br />Approx 20 ft. <br />Other <br />ft. <br />14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ ] NO[ ] <br />15. Indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum <br />permit payment per tank. If the party designated below is different than the permit applicant, e.g. property owner, <br />the party must acknowledge this responsibility for the billing by signature and date below. <br />Name Ramcon Engineering & Environmental Contracting, Inc. <br />Mailing Address 3751 Commerce Drive — West Sacramento, Ca 95691 <br />Day Phone Number ( 916 ) 372-7535 <br />Signature <br />Page 6 <br />Date <br />
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