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SITE INFORMATION AND CORRESPONDENCE FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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3500 - Local Oversight Program
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PR0544591
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 2:38:17 PM
Creation date
6/21/2019 11:32:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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WWI <br /> PACIFIC <br /> ENVIRONMENTAL 21989 <br /> GROUP INC. OR <br /> ENVPER IMS SERVICESNTAL LltI <br /> Date February 27, 1989 <br /> Project 320_37.01 <br /> 60 <br /> To: San Joaquin Local Health District ft J&%J <br /> 1601 E. Hazelton Avenue MAR 2 1983 <br /> Stockton, CAEHEgjH1 <br /> Attn: Diane Hinson <br /> ?iw <br /> EpN�RONM5ERV10Es <br /> We have enclosed <br /> Copies Description <br /> 3 Application for permit SJLHD <br /> 2 Application Environmental Health Permit/Services <br /> 1 Authorization to Release Data + Chevron authorization <br /> 1 Contractor questionnaire + ATD supplements (3) <br /> 1 Check for $35.00 - fee <br /> For your Use <br /> X Approval <br /> Information <br /> Comments: Please process the enclosed permit forms under your <br /> priority review system. If there is any other information <br /> required to begin reviewing our work plan for 2103 Country Club <br /> Blvd Stockton please do not hesitate to call. <br /> Tina Berry <br /> 1601 Civic Center Drive,Suite 202,Santa Clara,California 95050,(408)984-6536 <br />
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