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ARCHIVED REPORTS XR0005793
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0005793
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Entry Properties
Last modified
6/21/2019 1:28:41 PM
Creation date
6/21/2019 10:19:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005793
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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SJGOV\wng
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EHD - Public
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Jim Thorpe oil, Inc . <br /> 351 N Beckman Road • P n Box 357 0 Lodi, CA 95211 <br /> (209) 368-6175 0 (209) 462-4581 <br /> ' Conirar lor's License 1496699 <br /> November 8, 1988 <br /> �4 <br /> San Joaquin Loral Health District <br /> ' 1601 E. hazelton Avenot- <br /> P. 0 Box 2009 L <br /> Stockton, CA 9S?01 + <br /> ' Re Permanent ( to;ure/ldtik Remova ) Pldnti <br /> 1 Owner/Operator _ __Manuel _Sanchez <br /> Facility address. 1B76__Country Club Blvc.,,_Stockton,__CA_T <br /> 2. Parcel plot plan showing tank( ,,) to tae removed attached, <br /> ' 3 Contractor NLin+e 11V Tl-itlf N 011,. , °lei <br /> Contractor Classification A <br /> Contractor License Plumber 495699 <br /> Certificate of workers ' coinrentiation insurance on f i le ;n your off ice <br /> 4. Yank # on plot_plan Tank Size Products_currently�urLre_vlously stared <br /> 348 1 ,000 Unleaded gasoline <br /> 349 1 ,000 Leaded regular gasoline <br /> ' 5. Laboratory that wi it Collect sosl samples._ n]e Enu�rprupen�!_�_ <br /> A signed "Release of information Authorization, is attached <br /> 6. Method of disposal of all residual liquid, solids , or sluclnes , if appllcahle <br /> tanks are empty of residuals. <br /> 7. The tanks will be purged of all flarxnable vapors to pre{ lude explosion or to <br /> levels specified by existing regulations by__tnserting dry ice fa 15 ibs per <br /> ___L.000 gallons <br /> 8. Method of disposal or reusetanks will be transported Lo Schnitzer Steel <br /> Products, 12,000 folsop Blvd. , Rancho Cordova, CA for disposal . <br />
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