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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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10878
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3500 - Local Oversight Program
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PR0544832
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 1:57:05 PM
Creation date
9/16/2019 12:09:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544832
PE
3528
FACILITY_ID
FA0001146
FACILITY_NAME
MORADA CHEVRON FAST N EASY #60*
STREET_NUMBER
10878
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
APN
08607002
CURRENT_STATUS
02
SITE_LOCATION
10878 N HWY 99 E
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Jv <br /> U SAN JOAQUIN COUNTY �U U. <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH & SAFETY CODE 25180.7 coop <br /> A. EMERGENCY LEVEL01 II III PHS-EH LOG # <br /> (Circle One) <br />' B. SOURCE OF'INFORMATION <br /> Name: 0 Phone: <br /> Company: <br /> Address: <br /> Designated Employee Name: e- act4ri Phone: <br /> Reporting Agency Name: e,n vn <br /> Address:_ 5 N .. <br /> C. LOCATION AND DATE OF DISCHARGEi <br /> Location I d <br /> (Best Physical Descn' ti ) (City o oun )Circle One <br /> Date of Discharge: I A h0 uJ I� j, <br /> Date Notified: fa I I b 193 Time: b-Ir 15 pm <br /> Il, .,....__...__.�._ <br /> D. RESPONSIBLE PERSON/BU INESS - <br /> Name of Business: B F 5 <br /> Contact Person: e- ( IG Telephone: (2_ 3 i 15 <br /> Physical Address: 10"37 �F C <br /> Mailing Address: <br /> E. DESCRIPTION <br /> Type of Discharge: L e, <br /> Volume: C n x <br /> Chemicals• <br /> Cir tances: f,i.5" `S m a e. Y.�l --<,6 c . r S <br /> Q u a I el LS c L, ( r 4-t d,, f <br /> F. ACTION TAKEN C�ax- 6 -4aa s ewe Oe <br /> .I' e, <br /> I! :i <br /> SITE DISPOSITION 0 a � I7 (,u q rak' If— <br /> EH 22 013 (Rev-4/91) t, <br />
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