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COMPLIANCE INFO 1998 - 2000
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231211
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COMPLIANCE INFO 1998 - 2000
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Last modified
5/15/2019 2:48:23 PM
Creation date
5/15/2019 2:04:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1998 - 2000
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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12. What is the depth to groundwater? 30 feet below grand Silrfare <br /> Describe the source of Information: <br /> Groundwater gauging from on-Site monitnr well WA <br /> 13. Are there any water wells on this parcel or adjacent properties? YES NO[] <br /> i <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> a <br /> Public Well fL <br /> t <br /> Private Well rL <br /> Irrigation Well ft. <br /> Monitoring Well 10 ft � <br /> Other fL <br /> 12 Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?YES(I No? <br /> 15. Indicate the responsible party to be billed for additional PHS-M staff time expended beyond 3 hour minim `um permit payment <br /> per tank If the party designated below Is different than the permit applicant,e.g.property owner.the party must acknowledge <br /> this responsibility for the billing by signature and date below. <br /> 9 <br /> Name WICKLAND PROPERTIES <br /> MallingAddress P.O. Box 13648 Sacramento CA 95853-4648 <br /> nay Phone Number( 916 ) 978-2485 <br /> ti ,� is <br /> sign Title Date <br /> EH 23 046 (Revised 10/19/98) Page 6 <br />
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