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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0503634
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/7/2019 4:40:56 PM
Creation date
5/7/2019 4:15:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0503634
PE
2950
FACILITY_ID
FA0005914
FACILITY_NAME
VICTOR ROAD SHELL
STREET_NUMBER
880
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905032
CURRENT_STATUS
02
SITE_LOCATION
880 VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I, <br /> i <br /> i <br /> 1 <br /> I _ - <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> i <br /> i Subject: CERTIFIED-LIST OF RECORD FEE TITLE OWNERS FOR: <br /> Former Shell Service Station . <br /> SITE NAME: <br /> ADDRESS: 880 East Victor Road, Lodi, CA <br /> Complete#1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. in accordance with Sectiohh'25297.15(a)of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> I, Joe Neely c/o Shell Oil Products US certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the 9 <br /> above site: <br /> Sukh and Perminder Singh <br /> 9235 Cape May Ct„Elk Grove, CA 95758 <br /> 2. In accordance with Section 25297.15(a)of Chapter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> I; certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> 16-Dec-2011 <br /> Signature Date <br /> Revised 12/15/09 <br /> i <br />
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