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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545253
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/30/2020 1:10:56 PM
Creation date
1/30/2020 11:32:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545253
PE
3528
FACILITY_ID
FA0009191
FACILITY_NAME
PENNY NEWMAN GRAIN
STREET_NUMBER
1805
STREET_NAME
HARBOR
STREET_TYPE
RD
City
STOCKTON
Zip
95203
APN
14502005
CURRENT_STATUS
02
SITE_LOCATION
1805 HARBOR RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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w, <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM I <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> Case# 1132 <br /> a S <br /> Site Name CONTINENTAL GRAIN CO(former) � OI <br /> Location 1805 HARBOR ST <br /> STOCKTON,CA 95203 Ilt ` ' „( <br /> Phone 209-466-4261 <br /> • Gstt'r�tj�6j#�. :' Items .� I'�'' �I'I' `;G ; ��-C(��s; <br /> 4 ' <br /> f <br /> The following information is currently on file with this Department. The Prima Responsible Party <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary changes in the space provided,date, <br /> sign and return this form. <br /> Make changes/corrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. <br /> Business Name CONTI GROUP COMPANIES INC <br /> Contact DAN DECKER <br /> Address 277 PARK AVE 50TH FLOOR <br /> NEW YORK,NY 10172 <br /> Phone <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> foram. I also certify that all operations will be performed in accordance with all applicable Ordinate Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date / 1 <br /> k <br /> Report#8021 Date 6/1512005 <br /> f <br /> is <br /> t <br />
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