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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
Tags
EHD - Public
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SAN JO U1N COLV` - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALT-' DIVISION <br /> `,,;E MITIGATION/ASSESSMENT SUBMITTAL LOG 1 q! - a?8 <br /> SITE NAME OTHER LEAD AGENC <br /> ADDRESS AGENCY CONTACT ri-WWI- <br /> 991 <br /> CITY IIP PHONE w/AREA CD <br /> CONSULTANT COMPANY CONTACT <br /> OTHER CONTACT NAME ar INFO TI tt�� <br /> UGT SITE 23. ASSESS—DFS ! RWOCB 22. ENVIRON ASSESE 22.48 _PILOT <br /> ILO 23.T—E FUND SOUR S / F TASK t <br /> SWEEPS t/SITE CODE i Q DIST LOC CD ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED l>`l l DATE OF SUBMIT? fl-L-1911BILLING FORM INITIATED =l_I DT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD FEE PD CK I/CASI DATE <br /> RE-ETCAV/SOIL CONTAMINATION WOR)(PLAN (Scup) 1 PERMIT APPLICATION 14 t — <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN {SRP) 2 WORKPLAN far PERMIT ACTIVITY .11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORI(RM 14 <br /> PROKE11 ASSESSMENT REPORT (PAR) 5 ORTLY/MONiTOR1NG REPORT 15 <br /> PAA/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIDNAL ASSES" PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST RM MONITOR g <br /> STAFF REVIEW DUE l/_ OT SCHEDU_ED _/ !^ OT COMPLETED—I—/ <br /> ACTION DATE ACTION DATE ACTION DATE <br /> AD(N(A&G/COMM(TMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REGSTI SRP DUE <br /> M(0LG/COMMTMNT LTR RECVD REVISION REOSID PR DUE <br /> RWOCS COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACIION FRP DIE <br /> ADDENDUM/AODTNL ILEO RECVD DENIED � AV' R E 1 REVISION DUE <br /> PERMIT ISSlED SPECIAL PERMIT ISSUED AT OTHE 'AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT 31 ( 31 ING FORM SUBMITTED <br /> EH 23-117 B9-57(IV)12/84 PLNLDG __.� <br />
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