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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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1605
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3500 - Local Oversight Program
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PR0544687
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/24/2019 8:27:54 AM
Creation date
7/24/2019 8:10:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544687
PE
3528
FACILITY_ID
FA0006185
FACILITY_NAME
El Dorado Gas & Mart
STREET_NUMBER
1605
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16703101
CURRENT_STATUS
02
SITE_LOCATION
1605 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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'3uomctal Number~ 93-132,_ Date Received 02/10/93 <br /> Site Code: 19&� <br /> Site"!Name: EXXON 70137 Lead Agencv: <br /> G• C <br /> Address. 16 5 S EL DORADO ST Contact: <br /> City: STOCKTON Ziot 95201 Phone: <br /> Billing/responsible Party Information <br /> Billing Mame: Rill Info OK? <br /> Address: #r <br /> City: State: Zip: <br /> Contact: Phone <br /> Property Owner/Operator <br /> Name: <br /> Phone: <br /> Address: i <br /> City: State: Zip: <br /> Client Information (if different from Owner/Operator) . <br /> ti <br /> Name: 'hone: <br /> Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> E <br /> Consultant Company: AEGIS <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> iL......... <br /> E Program Element: 3;? Billing Code-: Assigned To: MI �� + <br /> Title of Submittals tiM-REPORT, <br /> Date of Submittal::�i/25/9L'OT_ N OT Request Date: f{ <br /> w <br /> - - - <br /> Type of Submittal. 9 Quarterly Report/Past-Remedial Monitoring <br /> i <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee Paid 0.00 <br /> Check No. /Cash <br /> Date Paid <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Pck/Com Ltr Req lAdd. Info RQgstd Srp Due <br /> Ack/Cam Ltr Recd Revision Re steel PR Due <br /> RWQCP Comments Report Revw Comp WIZ6 i Par Due <br /> Othr Agency Appr File/No Action FRP Due <br /> Add. Info Recvd Denied Revision Due G <br /> P <br /> ermit Type: Special Permit Issued: Oth Agency Due <br /> rkpin Revw Comp Comment Ltr Sent Project Complt <br />
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