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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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3500 - Local Oversight Program
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PR0545250
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/30/2020 4:50:48 PM
Creation date
1/30/2020 3:52:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545250
PE
3528
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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f <br /> 1 ' <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> Case# 1129 FIet1� [inl i� '� <br /> Site Name gp OIL#11193 <br /> Location 3202 W HAMMER LN �s <br /> ' i# It LCAIOt38 <br /> STOCKTON,CA 95209 ai;li i€R—oSttLI 11 f <br /> Phone 209-957-2900 ur Itt 11� 3llpness�KAY0 01L C0 t�21P6448 <br /> y <br /> v APf » 2fi?.IE? <br /> The following information is currently on file with this Department. The Primary 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 changeslcorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(dale) <br /> PRI-RP has been named a Primary RP. 3i l j <br /> Business Name ATLANTIC RICHFIELD COMPANY <br /> Contact KYLE CHRISTIE hV—r /r '!l- - <br /> Address 6 CENTERPOINTE DRIVE LPRG-161 <br /> LA PALMA,CA 90623-1066 <br /> Phone (714)670-5303 <br /> �,�ooa�ra53 <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: i,the undersigned owner,operator,primary responsible parry,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 /> form. 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 / <br /> Report#8021 Date 6/15/2005 <br />
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