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SITE INFORMATION AND CORRESPONDENCE_CASE 1
EnvironmentalHealth
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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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Last modified
2/10/2020 4:59:51 PM
Creation date
2/10/2020 4:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 1
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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MODIFY CONTAMINATED MFR SITE DATA UPDATE: PRIORITY <br /> Site Code : 19061 03/30/99 Name 1B5 Code 999 <br /> UGT: Y LOP : Y H W: N Site Mitig: N PWS : N Priv Well : N Env Assess : N <br /> Solid Waste : N H2O Q: N EPI : N Land Use : N Othr Agency Rept : N Emerg Resp: N <br /> Entered LOP: 01/20/99 SJ/PHS Contact : KNOLL LEAD AGY: LOP <br /> NOR sent : 03/30/99 Loc Code : 02 Dist : 3 Prog/Element : 3527 <br /> Fund Source : F Fed Exempt : N WDR Y/N: N NPDES Y/N: N <br /> .............::::::::::::::::::::: Site Specific Quarterly Report Information •....,..........................,. <br /> 1 8006619 2 1634044 3 4 5 <br /> Site Code : 19061 Petroleum: Y <br /> Site Name : TOKAY SHELL Date Reported: 01/26/99 <br /> Address : 420 W KETTLEMAN LANE Date Confirmed: 01/26/99 <br /> City: LODI CA Zip: 95240 Multiple RP' s : Y <br /> ........................................................ ............................................................,..... <br /> .....Y.......................... Site Status .................................................................. <br /> Case Type : U Emergency Response : Contract Status : 3 Status <br /> Changes <br /> Underway Com leted <br /> RP Search: S 01/20/9 01/0/99 1 <br /> Preliminary Assessment : U 01/29/99 2 <br /> Remedial Investigation: 3 01/20/99 <br /> Remedial Action: 4 <br /> Post-Remedial Action Monitoring: 5 <br /> Enforcement Action Taken: Y Type : 1 Date : 03/30/99 8 <br /> LUFT Consideration: 3 9 <br /> Excavation Started: Case Closed: Date : <br /> Remedial Action Taken: <br /> S ITE AND FILE STATUS ........................,,.......................... <br /> ..................:::::................................. ........................................................ <br /> Water Depth: 0 Gradient : Wells Nearby Type <br /> Last Sample Date : 00/00/00 500 ' ---> IR ---7 <br /> 1000 ' ---> DOM ---> <br /> Flag Date : 00/00/00 2000 ' ---> PUB ---> <br /> •Y.....{........•..............................• •...aa.....................f••...,e...............,......... <br /> ContaminatedMFR ............................................................ <br /> ►FPT: N ►Soil : Y ►GW: N <br /> Failed PT: 00/00/00 Soil Con: 01/26/99 GW Con: 00/00/00 DW Con: N <br /> Prior Failed PT: N No Action: N MW Destroyed? : False <br /> Consultant : Phone : <br /> UAR ## : => 00/00/00 Prop65 # : => 00/00/00 <br /> Street ## : 420 Street Name : TOKAY APN # : 060-020-01 <br /> ............................................................ Responsible Party .......................................................... <br /> Company Name : SHELL C/O EQUILON Phone : 559 645 5643 <br /> Contact Name : KAREN PETRYNA Phone : <br /> Address : P O BOX 6249 <br /> City: CARSON State : CA ZIP: 90749-6249 <br />
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