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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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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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qu,fy <br /> ti f few, V <br /> 2 y <br /> San Joaquin County <br /> Environmental Health Department <br /> 304 E Weber Avenue FAX #: €D (209) 468-3433 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3456 <br /> FAXDate: November 18, 2004 Time: ,1:25 P.M. <br /> Number of Pages (including this sheet): 2 <br /> To: M a Russell FAX: 916 861-0430 <br /> Of: Secor International Incorporated <br /> From: Vicki McCartney Voice Phone No: 209 468-3456 <br /> Re: installation of two monitoring wells at 3202 W. Hammer Lane Stockton CA <br /> O Urgent x For Review a Please Reply 0 Please Recycle <br /> Comments: <br /> This is the permit No. 0040406 that I have issued today for the two <br /> monitoring wells to be installed in the sidewalk near 3202 West <br /> Hammer Lane, Stockton, CA. I still need the Licensed Contractors <br /> Declaration (LCD) form completed and faxed to me that shows the <br /> name of the drilling company, the company's license number, and <br /> workers' compensation insurance information, etc. Also, please notify <br /> me at least 72 hours prior to commencing the fieldwork. Thank you. <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 6-14-02 <br />
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