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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545438
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
3/9/2020 4:31:40 PM
Creation date
3/9/2020 1:19:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545438
PE
3528
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
02
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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• r <br /> PUBLIC HL�A' LTH SPo�,N <br /> °o <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION ` <br /> Karen Furst, M.D., M.P.H., Health Officer c P. <br /> 304 East Weber Avenue, Third Floor • Stockton, CA 95202 q��FORa� <br /> 209/468-3420 <br /> MIKE KARVELOT <br /> UIK STOP MARKETS INC <br /> Q FILE -- <br /> 4567 ENTERPRISE ST <br /> FREMONT CA 94538-7605 <br /> RE: Gw14- !SA-z'p Z Site Code: RO#A_5 <br /> 1196 W <br /> MaIA+eccr , CA <br /> WORK PLAN: ,{-toy A( C)K-,—aKsd-k 56xk(-�U4wm� ey T-til-)e5A�61%DATED:3 Z3 00 <br /> PREPARED BY: <br /> APPROVED <br /> DISAPPROVED <br /> ADDENDUM NEEDED Submit by: <br /> ADEQUATE AND NECESSARY ELEMENTS OF THE WORK PLAN[H&S 25299.37,subd(c)(3)1: <br /> 3�Cel-,taiI 6ariv$j 4ocolLoA -o, ' �roui�.�r.]rt�+ev��++tir�lcs Otie bari!.c, noYtk of <br /> -�'�•.c s i�-��r kx�a va� mss ess Hn a t.�,-�crF-t'1�,��L.0 l(ot �s.,J��t,�i�w�t�-�sa�, Ti..�c, 6o r- <br /> 1l cs Ao M1 1A •CA-f tG. (7_!S a -0v VE "« 1iu,t�ejC L�ycc( a-,Ses:S Aew+ o•[+ <br /> COMMENTS AND CONDITIONS: <br /> GIC Q v� c .I r)t e t1 t E 1bL rsF-f'I�.c C—tt�J coin-4 rt►.�ti,•ot c t�G,yt G hoc rtnus� <br /> E,e Ct9 (eC+tj ev4 vi_/ lo`o c-Fro o-F I]1nurj0u(a,f t. . <br /> gnu Ipsyuus=4 �,e 11jrn1cP a&,_ci oes V_,C4 -,L99Ve55 6014tT(e-k4 <br /> (01-4�nct t-{-tos; of-f 1^c o�tt w.� T.6�nf i to�orw� a. c�cC�ln� �Ybw� <br /> -4'L.is r>L.as•e r1F-titic itiy�,-1-�a���,iac, cti��l� c� �ye��Loc•ci-l;-ioks r we,t�S�C� <br /> n w) Y tcl."o L\�s-E <br /> nt1�S� _i3-1-tb/•� . <br /> DATED__4 10 On ,Psi.I ��(, <br /> Lori Duncan, Senior REHS (209) 468-0337 <br /> Faxed to consultant. <br /> cc: George Yamashita,c/o Jeffrey Widman <br /> A Division of San Joaquin County Health Care Services <br />
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