My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
T
>
TILLIE LEWIS
>
1444
>
2900 - Site Mitigation Program
>
PR0540506
>
SITE INFORMATION AND CORRESPONDENCE
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/11/2020 12:21:50 PM
Creation date
6/11/2020 12:16:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0540506
PE
2950
FACILITY_ID
FA0023166
FACILITY_NAME
MONBERG PROPERTY
STREET_NUMBER
1444
STREET_NAME
TILLIE LEWIS
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16335003
CURRENT_STATUS
01
SITE_LOCATION
1444 TILLIE LEWIS DR
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
100
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SERVICES/ENVIRONMENTAL nen 1 <br /> !j ! <br /> PUBLIC HEALTH EDITIUPDATE <br /> SAN JOAQUIN COUNLY - ; � TASK # <br /> SITE MITIGATION/ASSENT SU6M11TAL LOG ' UND SCISRCE S <br /> -- u�l�p� �SStiSS x2.48 <br /> iLOT x3•r <br /> SSSSS--4HS / RWQC8 •�r ASSIGNED TO !� <br /> GT SI'M LOC CD <br /> IST <br /> WEEPS #1511E CODE # I fl! / r ATE <br /> OT REQST r K#/CASH <br /> BITING FORM INITIATED _�/,�/r EVSEW FEE PD <br /> ATS <br /> O/CASH OT COMPLETED_/__-J <br /> ERMIT FEE PD DATE <br /> pT SCHEDULED 11.x/-� ACTION <br /> STAFF REVIEW DUE �1�1�- PATE <br /> 'i ACT[ON <br /> ' DATE I! •1 RP DUE <br /> ACTION <br /> INCOMPLETE/ADDTNL INFO REaSTD R :DUE , <br /> CKNOWLG/CWMTMNT OR REOSTD <br /> EVISION REDSTD _ <br /> AR DUE <br /> CKN0WLG/CW14T14N1 LTR RECVD Z <br /> EV COMPLETE ".. RP DUE <br /> . 3F - <br /> 7 WOCS COMMENTS <br /> FILE/µ4 ACTION <br /> EVISION DUE <br /> THER AGENCY APPROVAL A ENIED . <br /> ;HER AGENCY DUE DATE <br /> DDENDUM/ADDINL INFO RECVD PECIAL PERMIT ISSUED <br /> . TEEING FORM SUBMITTED <br /> Hii SENT 3 <br /> ERMIT ISSUED OMMENT LTR. <br /> RKPLAN APPRO E4 <br /> 'i <br /> V _/ <br /> 23 _/9() PtNLOG2, w e <br /> qo_ ,� {I !! - aamendations contained <br /> ..k s js/are true and correct, and <br /> EH � <br /> t �s which required geologic or engineering <br /> Alio/or ' judgments have been performed under the <br /> = acclon�of an appropriately registered or certified professional. <br /> I <br /> Any future proposal or report will utilize the -"Regional Board <br /> Staff Recommendations For Initial Evaluation and Investigation of <br /> Underground Tanks" and "Appendix A" reporting format. The LUFT <br /> Manual will also be utilized as a guidance document. <br /> Furthermore, I (We) understand that the Local UST oversight Program <br /> will evaluate our mitigation'; activities on the site(s) in question <br /> for the purpose of closure certification and that the program -is a <br /> cost reco�verYprogram � � ... . . F . ,s.. .r � . <br /> (signature and title date <br /> !w <br />
The URL can be used to link to this page
Your browser does not support the video tag.