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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAZELTON
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2025
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2900 - Site Mitigation Program
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PR0505804
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Last modified
1/31/2020 6:06:16 PM
Creation date
1/31/2020 3:51:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505804
PE
2960
FACILITY_ID
FA0007013
FACILITY_NAME
KOPPEL STOCKTON TERMINAL
STREET_NUMBER
2025
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
2025 W HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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• • SERVICE REQUEST • <br /> Facility ID Facility Name <br /> Record ID 018932 Location 2716 NAVY, "PORT"for 2025 HZLTN <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Property Owner PORT OF STOCKTON <br /> Business Name ENV & REG AFFAIRS, JAY JAHANGIRI <br /> Street Number Dir Street Name Type Unit <br /> 2716 _ NAVY RD <br /> 2nd Address PORT, PO BOX 2089 <br /> City STKN State _ Zip - <br /> Phone 1 209-946-0246 Ext 290 APN <br /> Phone 2 _- - Ext <br /> Census 000001 District 001 Location 01 Citycode <br /> Requestor MAY WONG, PE FOR CH2M HILL FOR <br /> Business Name SPECTRUM DRILL, C-57 #512268 <br /> Address 1 2365 WIGWAM DRIVE <br /> Address 2 <br /> City STOCKTON State CA Zip 95205- <br /> Phone Number 209-465-8712 Ext <br /> Nature of Service Request - <br /> OFFSITE BORING PERMIT FOR 2025 W. HAZELTON AVE SITE, "KOPPEL STA <br /> TION" UNDER APPROVED WORKPLAN. CH2M HILL CHECK # 94007722 FOR <br /> SERVICE REQUEST <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee <br /> Comments - <br /> THIS SR. THIS SR IS ONE OF FOUR. MONITORING WELLS "KP-7D, KP-7S, KP-8S <br /> AND KP-9S" . "S"=SHALLOW WELL TD=22' BGS, AND "D"=DEEP=TD OF 57' BGS. <br /> ACCESS AGREEMENT RECD AND SIGNED AND VALID. <br /> Name Date Time <br /> Received By 0684 INFURNA, MICHAE 04/14/99 <br /> Assigned To 0684 INFURNA, MICHAE 04/14/99 <br /> Date Service Completed _/_/_ Requires Further Action Y/N Y <br /> Amount paid 89 . 00 Program/Element 2901 <br /> Due date <br /> Oaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa <br /> • This record was entered on 04/14/99 By STAFF ° <br /> ° This record was last updated on 04/14/99 By STAFF ° <br /> aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai <br />
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