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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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2705
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3500 - Local Oversight Program
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PR0544595
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
6/24/2019 10:23:11 AM
Creation date
6/24/2019 9:26:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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SAN JOAQUIN ITY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL , THVISION t <br /> NON-LOP SITE MITIGATION/ASSESSMENT SUBMITTAL LOG � ►NuI #�_- L <br /> SITE ADDRESS ! - E D AGENCY <br /> SITE CODE # PROG/ELEMENT 22'-1 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: TYPE CODEFT <br /> DATE RECEIVEDt / DATE ON SMITTAL12 OT REQUEST OT REQUEST DATE <br /> PERMIT FEE PD CK #!CASH f DATE REVIEW FEE Pb CK #/CASH DATE STAFF REVIEW DUE: <br /> _ OT SCHEDULED: <br /> $ / 1 . � 1 � OT COMPLETED: J / <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED w REVISION DUE <br /> PERMIT 2SSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LT? SrNT PROuECT COMPLETE/FINAL BILL <br /> FOR ",f'''.f USE ON.1 <br /> SITE MITIGATION PROGRAM FEE BASE MINIMUM ;OURS MINIMUM AMOUNT RECEIVED 3 DATE RECEIPT AMOUNT <br /> SCHEDULE FEE FOR SERVICE FEE RECEIVED BY # DUE <br /> UGT CORRECTIVE ACTION OVERSIGHT (CAP) $53.00/ i <br /> HOUR 5 HOURS <br /> HAZARDOUS MATERIAL TRANSMISSION $53.00/ <br /> s <br /> PIPELINE ASSESSMENT OVERSIGHT HOUR 5 HOURS ($265. ,0 <br /> ENVIRONMENTAL ASSESSMENT WORKPLN/ $53.00/ p <br /> REVIEW AND INSPECTIONS HOUR 3 HOURS 1$159°00 <br /> i <br /> OTHER GOVERNMENT AGENCY OVERSIGHT $53.00/ <br /> WORKPLAN/REVIEW AND INSPECTIONS HOUR 3 HOURS $159.00 <br /> BASE AMOUNT RECEIVED DATE ° PERMIT ISSUANCE <br /> PERMIT ACTIVITY FEES FEE RECEIVED BY # DATE <br /> WELL/BORING PERMIT APPLICATIENd $E9.00 <br /> (,nonitoring/extraction/vapor wet s, EACH <br /> soil borings, vapor surveys, etc.) A,P�C <br /> WELL DESTRUCTION PERMIT APPLICATION C 0.00 <br /> LPpiCH <br /> C <br /> EH 29 06 (BILFRMI2 revise,] 5/91; <br />
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