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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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KETTLEMAN
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3500 - Local Oversight Program
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PR0545338
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/12/2020 10:01:28 AM
Creation date
2/12/2020 8:21:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545338
PE
3528
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
02
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN C Y - PUBLIC HEALTH SERVICES/ENV RMIENTAL <br /> ITE M1T16ATIONIASSESSMEIIT S118M TTAL LOG �g91 # my <br /> SITE NAM£ OTHERWD AGENC <br /> ADDRESS / AGENCY CONTACT <br /> CITY IIP PHONE w/AREA CD <br /> F <br /> CONSULTANT COMPANY CONTACT NAME <br /> OTHER CONTACT NAME or WORMATIONI <br /> UGT SITE 23. ASSESS—DHS / RWGCB 22. ENVIRON ASSESS 22.48 fL© 23.E FIND SOUAS/ I TASK # <br /> SWEEPS #/SITE CODE # DIST LOC C➢ RSSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE OF SUBMITT /�Z4 BILLING FOM INITIATED _ _I_I OT REOST <br /> TYPE OF SUBMITTAL IPILOTI COD —-[—TYPE OF SUBMITTAL (OTHER) COD FEE PD CK #ICA DATE <br /> RE-E7ICAV/SOIL CONTAMINATION WORKPLAN (SCW0 L PERMIT FWPLICATIOH 14 1 <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WDRHPLIIN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT 1PR) 3 ASSESS REPORI 13 <br /> PR/with ADDTL ASSESS PROPOSAL A ASSESS REPORT/with WORKPLAN 14 <br /> PRO LEM ASSESSMENT REPORT (PAR) 5 ORTLYIMGNITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN w/o ERMIT ACTIVITY 16 <br /> ADDIIIONAL ASSESSMENT PROPOSAL. 7 <br /> FINAL REMEDIATION PLAN {FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DIE /1 OT SCHEDULED —1—/ OT-COMPL-E-TE:Dk-/-/`1 <br /> ACTION DATE ACTION. /'TEll ACTION 1 DATE <br /> ju <br /> ACKMOWLG/C"TMNT LTR REIISTD INMMPLETE/ADOTNL INFO REGST <br /> ACHNOWLG/COMMTMNT LTR RECVD REVISION REDSTD / / PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE Crj� PAR DUE / <br /> OTHER AGENCY APPROVAL FILE/NO ACTION \ F.RP-DLIE f <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DOE. DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 81-5711V112/01 PLNLOG <br /> I� <br />
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