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SITE INFORMATION AND CORRESPONDENCE_CASE 2
EnvironmentalHealth
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SITE INFORMATION AND CORRESPONDENCE_CASE 2
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Last modified
2/10/2020 5:49:18 PM
Creation date
2/10/2020 4:23:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 2
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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SAN JOAQUIN COI' - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEA' DIVISION <br /> `tTE MITIGATION/ASSESSMENT SUBMITTAL LOG �*+ I <br /> SITE NAME OTHER LEAD AGENC <br /> AGENCY CONTACT <br /> wt <br /> ADDRESS <br /> CITY IIP PHON[: WREA coQ� .. <br /> CONSiXTANT COMPANY CONTACT <br /> OTHER CONTACT NAME or iNFORMATI f <br /> UGT SITE 23. ASSESS—DHS / RWOCB 22. ENVIRON ASSESS 22.48 PILO 23� FUND SOU S / F TASK t <br /> SWEEPS I/SITE CODE R CI DISTJ LOC CD ASSIGNED TO Z <br /> TITLE OF SUBMITTAL: ` <br /> 1�5z <br /> DATE RECEIVED 141_ICIADATE OFSl10MITTlBILLING FORM INITIATED _l�l OT REQST —/—I— <br /> TYPE OF SUBMITTAL IPILOTICOD TYPE OF SUBMITTAL (OTHER) COD FEE PO CK I/CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) 1 PERMIT APPLICATION 10 t <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN ISRP) 2 WORKPL.RN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESDOT REPORT (PAR) 5 QRTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL. 6 OTHER WRKPLIW w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST RM MONITOR 9 <br /> STAFF REVIEW DUE _/_/^ OT SCHEDUL.EO /_I_ OT COMPLETED—/—/____ <br /> ACTION DATE ACTION. DATE ACTION DATE <br /> AClM LG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REDSTU SRP DUE <br /> ACKNOWLG/CDPXTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQC8 COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP RE <br /> ADDENDUM/ADDTNL INFO MD DENIED rd. REID REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUEDM Z 1y OTHER AGENCY DUE DATE <br /> WOR1(PL.AN APPROVED COMMENT LTR SENT S 3�� OI ING FORM SUBMITTED <br /> CH 23-117 89-57(1V)12/04 PLNLOG ---� -- — <br />
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