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SITE INFORMATION AND CORRESPONDENCE
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18974
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3500 - Local Oversight Program
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PR0545721
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/3/2020 11:38:08 AM
Creation date
6/3/2020 11:34:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545721
PE
3528
FACILITY_ID
FA0005425
FACILITY_NAME
LINDEN SHORT STOP
STREET_NUMBER
18974
STREET_NAME
MAIN
STREET_TYPE
ST
City
LINDEN
Zip
95236
CURRENT_STATUS
02
SITE_LOCATION
18974 MAIN ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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LSauers
Tags
EHD - Public
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SAN 1OAQUI'' 'IATY PUBLIC HEALTH SERVICES/ENVIRONMENTAL, TH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG �, ��•� 8 _- /Q <br /> SITE NAME A(?� �� --- OTW D C <br /> ADDRESS (S 9 7 g �CZ10 AGENCY CONTACT <br /> CITY ,£.t.�� IIP g$_3� PHONE w/AREA CD <br /> CONSULTANT COMPANY �ec�iflTJ — :i CONTACT "R��D2(L� SeA1 e)ot�S P Pon <br /> OTHER CONTACT NAME or INFORMATI -7-7-2�S X y <br /> UGT SITE 23. ASSESS—DHS / WB 22. ENVIRON ASSES 22.48 PILO 23.501 FUND SOUR 1 F TASK 11 3 <br /> SWEEPS 14/SITE CODE 11 / DIST 3 LOC CD / ASSIGNED TO �K <br /> TITLE OF 5UBMITTAL: ey-,�� a <br /> DATE RECEIVED10251 0 DATE OF $UBMITT �l a51 0 BILLING FORM INITIATED _I_l. qT R£QST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPElk SUBMITTAL (OTHER) COD FEE PD CK #/CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WQWJ LAN (SCWP) 1 PERMIT APPLICATION 10 1 <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> cs' <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/Kith WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5ORTLY/MONITORING REPORT 15 <br /> T <br /> PAA/with REMEDIAL ACTION PROPOSAL " 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PRQPOk 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> QRTLY REPORT/POST REED MONITOR g <br /> d <br /> STAFF REVIEW DUE �1 l_ , OT SCHEDULED �l_I OT COMPLETED____/____/_ <br /> ACTION DATE ACTION. DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQST 7/ 90� SRP DUE <br /> ACKNOWL6/COMMTMNT LTR RECVD REVISION REQ5TD PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL. - FILE/NOtACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL,PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT,,LTR-SENT 81LL1NG FORM SUBMITTED <br /> EH 23-117 84-57(IV)12101 PLNLOG <br />
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