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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0544939
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/18/2019 9:05:50 AM
Creation date
10/18/2019 9:02:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544939
PE
3528
FACILITY_ID
FA0000508
FACILITY_NAME
7-ELEVEN INC #17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
02
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i•- w i ,r y <br /> FLUOR' DANIEL GTI zri p4 <br /> 11, PN' a <br /> TO: Mr. Harlin Knoll DATE: 12/09/98_ JOB NO. <br /> San Joaquin County Public Health Services FROM: David Bean <br /> Environmental Health Division RE: Southland Store No. 20632 <br /> P.O. Box 388, 304 East Weber Avenue 4627 DaVinci Drive, Stockton <br /> Stockton, California 95201-388 Southland Store No. 17334 <br /> (209)468-3420 fx(209)468-3433 4501 Pershing Avenue, Stockton <br /> We are sending via: 0 AIRBORNE MAIL 0 FAX <br /> ORIGINALS COPIES DATE= DESCRIPTION <br /> Drilling Subcontractor information <br /> Transmitted as checked: <br /> 0 For Approval :For Your Use As You Requested <br /> For Comment For.Resubmittal For Your Records <br /> Remarks: Dear Mr.Knoll: <br /> The following includes a completed Contractor/Consultant Questionnaire along with a copy of the driller's <br /> State Contractors License and Certificate of Liability Insurance with the San Joaquin County Public Health. <br /> Services named as additionally insured. The drilling at the two subject sites is scheduled for Friday <br /> December 18, 1998. <br /> Please call with questions <br /> ank You. <br /> Copies to: David Bean <br /> � 4 <br /> BCTRNS.W K4 <br /> s <br /> 1 757 Arnold Drive, Suite.D/Martinez, CA 94.553 USA.(925) 370-3990 FAX (925) 370-3991 <br /> k ;i . <br />
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