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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545259
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SITE HISTORY
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Last modified
1/31/2020 3:55:34 PM
Creation date
1/31/2020 2:29:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545259
PE
3528
FACILITY_ID
FA0004966
FACILITY_NAME
CHEVRON USA (INACT)
STREET_NUMBER
45
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
12707037
CURRENT_STATUS
02
SITE_LOCATION
45 E HARDING WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Junai CLlpariaon, Pta., SAN '`AQLIIN LOCAL HEALTH OISTf T <br /> SERVING <br /> ' ►sUlcb E. Vannuecl, SK'y. <br /> Anihonaua Van Sp,onaan J <br /> 1 East Hatellon Avenue, P. O. Box 2009 San Gly of tool <br /> Ead Flmaniel oaquln County <br /> Fain eumoaa Slocklon. California 95201 city of Eacalon <br /> Daniel L Fltxaa209/466 8781 Clty of Manteca <br /> John D. Masi, M.D. - " City of Ripon <br /> WMIIM J. Wad. - City of Stockton <br /> Joel Khanna, M,0 M.P.", Db1dc1 Health Olik:w City of Tracy <br /> Mary Anna Low{ „ San Joaquin County <br /> tit San Joaquin County <br /> r+ z <br /> h .i <br /> 4 d <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> 1. the undersigned owner and/or operator of the property and/or facility <br /> located at 45 East Hardin. Wayi <br /> hereby authorize Sequoia Lab , 2549 Middletown Rd . Redwood City , CA <br /> to release ,any and all analytical results, geotechnical data and site <br /> assessment ;information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. /(/J <br /> Owner/Operttor: ._R_o , RPffa i <br /> Title: EnvinPPr <br />' Address _Cbe�cron U S A Tnc 'I Phone: (415) 838-5220 <br /> ° Annabel Lane San Ramon 'CA 94583 <br /> Date: January 4 , 1988 <br /> r� r <br /> 1 , I <br /> H p�li1 A <br /> fir, I j <br /> �i JJJ <br /> li it <br /> I{ , <br /> j EH 08 05 UGT 13 ' <br /> f:.. <br /> F.t <br />
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