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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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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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ALTON <br /> GEOSCIENCE RECEIVED <br /> THE RESULTS TEAM <br /> ENVIRONNWNIAL HEALTH <br /> PERM!,-, -'SEPVK"ES <br /> September 4 , 1991 <br /> Mr. Mike Inferna <br /> San Joaquin County Public Health Services <br /> Environmental Health Division <br /> 1601 East Hazelton Avenue <br /> Stockton, California 95201 <br /> Subject : Application for Permit to Conduct <br /> Preliminary Site Assessment <br /> Exxon Service Station No. 7-3708 <br /> 2705 Country Club Boulevard <br /> Stockton, California 95204 <br /> Dear Mr. Inferna: <br /> Enclosed is the information necessary to apply for a permit <br /> to conduct a preliminary site assessment at Exxon Service <br /> Station No. 7-3708 . The information provided is in <br /> accordance with your Site Mitigation Program: Guidelines for <br /> Work Plan and Report Submittal. The following materials are <br /> enclosed in this package: <br /> 0 Preliminary site assessment work plan including <br /> health and safety plan with appropriate Material <br /> Safety Data Sheets <br /> 0 One check in the amount of $89. 00 for the permit to <br /> drill soil borings <br /> 0 One check in the amount of $159 . 00 for environmental <br /> assessment review ( $53 . 00 per hour/3-hour minimum) <br /> • Application for permit; filled out in triplicate <br /> • Site mitigation acknowledgement/request for services <br /> form <br /> 1000 Burnet,Avenue.Suite 140 <br /> Concord,Ca fornia 94520 <br /> (4151682-1582-FAX(415)682-8921 <br />
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