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FIELD DOCUMENTS FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2705
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3500 - Local Oversight Program
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PR0544595
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FIELD DOCUMENTS FILE 1
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Last modified
6/24/2019 10:22:33 AM
Creation date
6/24/2019 9:25:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SERVICE REQUEST <br /> Facility ID Facility Name <br /> Record ID 019174 Location <br /> 2705 COUNTRY CLUB, STKN <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee�eeeee�e�e�ec�e�€����e�������������L���� <br /> Property Owner PALISADE GAS & WASH-EXXON USA <br /> Business Name USA GAS #7-3708 <br /> Street Number Dir Street Name Type Unit <br /> 2705 _ COUNTRY CLUB BLVD <br /> 2nd Address 2300 CLAYTON RD, #1250 <br /> City CONCORD State CA Zip 94520- <br /> Phone 1 925-246-8768 Ext APN 121-210-08 <br /> Phone 2 651-639-9449 Ext <br /> Census 000001 District 001 Location 01 Citycode <br /> Requestor J.W. SPETH, RG FOR DELTA FOR <br /> Business Name WOODWARD DRILL, C-57#710079 <br /> Address 1 PO BOX 336 <br /> Address 2 <br /> City RIO VISTA State CA Zip 94571- <br /> Phone Number 707-374-4300 Ext <br /> Nature of Service Request - <br /> ON SITE BORING PERMIT FOR MW-9 & 10 UNDER APPROVED LOP WORKPLAN <br /> DELTA CHECK #285056 FOR $89 RECD. <br /> SERVICE REQUEST <br /> e��e�e�eeeeeeeeeeeeeee��eeeeeeeeee�eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee�e�e��ee <br /> Comments - <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 05/10/99 <br /> Assigned To 0684 INFURNA, MICHAE 05/10/99 <br /> Date Service Completed _/_/_ Requires Further Action Y/N Y <br /> Amount paid 89 . 00 Program/Element 3501 <br /> Due date <br /> ° This record was entered on 05/10/99 By STAFF ° <br /> • This record was last updated on 05/10/99 By STAFF <br />
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