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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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1120
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3500 - Local Oversight Program
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PR0545244
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/30/2020 9:21:17 AM
Creation date
1/30/2020 8:30:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545244
PE
3526
FACILITY_ID
FA0024606
FACILITY_NAME
FORMER KNOWLES STATION
STREET_NUMBER
1120
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07749027
CURRENT_STATUS
02
SITE_LOCATION
1120 W HAMMER LN
P_LOCATION
01
QC Status
Approved
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EHD - Public
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F .QM Ground Zero Pr)al ysi s PHONE h41 : 209 838 9883 Aug. 27 1998 12:06W P1 <br /> v 14"W <br /> GROUND ZERO ANALYSIS, INC, <br /> 1714 Maui Street <br /> Esralon,CA 95320-1927 <br /> Phone (209)838.9888 <br /> FAX (209)838-9883 <br /> FAX COVER SHEET <br /> TO. FROM: <br /> Hanbn Knoll John Lane <br /> COMPANY- DATE: <br /> Sen Joaquin Courdy PHS-ER) OV27M <br /> FAX NI TMRRIL TOTAL NO.OF PAGES INCLUDWC.COVER: <br /> 464-0138 2 <br /> PHONE NUMBER: RFa: <br /> 468-3442 required Form for Well Log Request <br /> 0 URGENT C�FOR REVIEW 0 PLEASE COMMENT ❑PLEASE REPI 5' 13 PLEASE RECYCLE <br /> Harlin: <br /> Following is a partially completed form required by UWR before they will send will logs/etc,to <br /> me. The farm requires your signature as the Agency requesting the information_ Please siga the <br /> farm at your earliest convenience and fax back to me at 838-9883. <br /> I ain requesting information an wells located within 2000 feet of the site_ <br /> Tlwmk You for your assistance, <br /> q�� <br /> John Lane, <br /> Ground Zero Analysis,Inc. <br /> ['F + <br /> -1VED <br /> AUG 2 7 1998 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />
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