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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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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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02/05/2007 06:39 530676E?'`' STRATUS NO CALIF �\ PAGE 01/01 <br /> % <br /> DIED SM JoAQUW COUM bre u� cm <br /> wrm <br /> RnV�O M h UL$$ALTs MPARMWEM <br /> NEU <br /> FEB 0 5 2WEEV"" <br /> 007304 E W�rAve 3"I Ploo r Stockton,CA.95205 <br /> ENVIRONMENT F='(209)464.0128 Web:www.ao.sau joaquiaoa.ns ehd <br /> PERMIT/SERVICES pUBLIC B.gCQ , U Al,pUCATION 7 <br /> 3330 sctz <br /> �v FACau �3�J_-to?!�� bbo� - _ • <br /> TSNT'ATPWAPPOn+nrOrrrDAM_OLA9 �� ache Tim: <br /> I nGm GkW 1e buslw=*P from daft of MP04=5W aUbndbq <br /> a+edc WKT0 laaaW-"3.00 cwesrPM 1;gso W 3 r�0A= <br /> SIGNATURE OF APPUCAKr ., DATE <br /> • � oc use ornr <br /> uNlr <br /> aS'Co <br /> IL <br /> ❑ Urdt 1 <br /> C) Unft 2 <br /> me <br /> cW <br /> ENVIRONMENTAL IdMTH DWMTMLNT FILRS <br /> TM{K(usry sna tua� o rfovaexe AUTENIMT 0 SOW WAM FACLM <br /> 07"88 49JI W&=RIO*LM G M M FACKM 13 SOW wAM V6lf= <br /> TIRM POW,I FACKM a XOMR�. a TW)W r Tags <br /> C1 f13 TgTo f ooDY G 13 PWAPA G LAW tM APPLra IM ORES <br /> G tom.W#=FA Uff Q o"t(nL•EASS <br /> 1. Lis!car is den s In the space abawe. Select the types)of gas from the list py.dwwir <br /> prlate ba4es). At least arse file"*MUST be selected. F, to_r2�9 s 138 yr m to the <br /> Z 11HD will nam/ft apptkmnt If any EW files e:dst. An appointment for review wM be owdliv ped <br /> appro)dn+ately five business days but no later than ten(10)days altar receipt of opplieaara. Theses <br /> wsi be held for a mwdmum of five btWnees days for review. Appointments should be scheduled <br /> stcaondingiy'. . <br /> 3. A foe that Is so0v*belnp worked on by EHD staff may not be Irttrredle"available for review. A new <br /> applieafipn mqy be submitted wlwn the So Is avaliable. <br /> 4. Arry file rat r*WMW In the$we 00clitlon as released WN be reorglMzed by 60 staff tit the expense <br /> of the apps= t. Future f9e mWe"by Ow same applicant may require a$93.00 deposit prior to r evlew. <br /> 3. "TENTATIVR appointment dates must be confMneai with EtiD stedE <br /> 6. Applications received after 3:00 pm w81 be processed the nod business dby. <br /> CONFRMED APPOINTMENT DATE TIME <br /> DATE CONFIRUEA PHONE , FAX ixrhijA <br /> REVEWED YM NO REVIEW DATE; <br />
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