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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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3500 - Local Oversight Program
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PR0545337
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Last modified
2/11/2020 8:09:10 PM
Creation date
2/11/2020 11:26:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545337
PE
3528
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 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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/F d <br /> SAN JOAOUI)' TY - PUBLIC HEALTH SERYICES/E4YIRGNMENTFV "{)LTH DIfiE;I <br /> I SITE MITIGATION/ASSESaMENT SUBMITTAL LOG EID �� - fr <br /> SITE NAME OTHER LEAD HICyu <br /> ADDRESS <br /> AGENCY CONTACT <br /> i <br /> CITY IIP PHONE w/AREA CD <br /> CONSULTANT COKWCONTACT NA <br /> 9/l <br /> OTHER CONTACT NAME or INFORMIATI <br /> ETE 23. ASSESS—DHS / RIIOCB 22. ENVIRON ASSES 22.48 PILO 23.f2 FUND SO URC / F TASK 1 <br /> SWEEPS I/SITE CODE # DIST LOC CD ASSIGNED TO <br /> TITLE OF SUBMITTAL- <br /> .--- <br /> ,DATE RECEIVED S'! dl DATE OF SUBMITTAil <br /> ---201BILLING FORM INITIATED _I_I OT REOST <br /> TYPE OF SUBMITTAL (PILDT) COD TYPE OF SUBM TTAL (OTHER[ COD FEE PO CH I/Cf& DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN ISCWP) l PERMIT APPLICATI011 18 I <br /> SOIL CONTAMINATION Rf_PORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY '11 <br /> PRELIMINARY REPORT IPR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/witt WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 RTLY/MOMITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRHPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY )EPORUPOST REMED MONITOR 4 <br /> STAFF REVIEW DUE _lfOT SCHEDULED 1_l OT COMIPLETED ! / <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACHN(WLG/COMMTMNT LTR REOSTD INCOMPLETE/ADI)ML IWO REQS1 � SRP DUE <br /> AC(MUf&G/COMMTMNT LTR R€CVD REVISION REQSTD PR D� <br /> WO'COMMENTS REVIEW CONPLI:TE Mrd PAR DU: <br /> OTHER AGENCY APPROVAL FILEMO ACTION DIT 5 i>9 FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED � REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLIMKG FORM SUBMITTED <br /> f EH 23-117 81-57 1 IV)12104 PLIEOG <br /> r <br />
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