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2900 - Site Mitigation Program
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PR0505768
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Entry Properties
Last modified
5/13/2020 2:53:39 PM
Creation date
5/13/2020 2:07:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0505768
PE
2960
FACILITY_ID
FA0006988
FACILITY_NAME
ALDEN PARK CHEVRON
STREET_NUMBER
500
Direction
N
STREET_NAME
SEQUOIA
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23416001
CURRENT_STATUS
01
SITE_LOCATION
500 N SEQUOIA AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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'tic,ARD or 111 USit ( $ SAN JOAQUIN LOCAL HEALTH UISTHICT <br /> SERVING <br /> l.mee Culc,enson. Pres city of Lodi <br /> Pxlilcle E Vannuccl Q.eC'y <br /> Anlhunnlle Van Spion,un 1001 Fast Hazelton Avenuo, P. O Box 1(11)9 .'.an Joaquin Count) <br /> City of Manteca <br /> Feil Puunnlel Stockton, Callfarnia 95701 <br /> City of Manteca <br /> Fern nuq Dee <br /> Daniel L. Florae 209/466-6781 City of City <br /> t niton <br /> Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anne Love San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I , the undersigned owner and/or operator of the property and/or facility <br /> located at Alden Park, Tracy California <br /> hereby authorize Kennedy/Jenks/Chilton <br /> to release any and all analytical results , geotechnical data and site <br /> assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> Owned/Operator: City of Tracy Title: z <br /> Address 325 E. Tenth Street Phone: 209-836-2670 <br /> Tracy, CA 95376 <br /> Date: August 5, 1986 <br /> a <br /> EH 08 05 UGT 13 <br />
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