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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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3302
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3500 - Local Oversight Program
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PR0545872
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SITE HISTORY
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Last modified
7/21/2020 3:37:57 PM
Creation date
7/21/2020 3:23:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545872
PE
3528
FACILITY_ID
FA0025947
FACILITY_NAME
JAYS MINI MART
STREET_NUMBER
3302
Direction
N
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11705037
CURRENT_STATUS
02
SITE_LOCATION
3302 N WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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PUBLIC HZkf±H SZRVlCES-ENV=RONPIENTAL H'I.PAOITH DIVISION <br /> SITE NAME -/�.�!'� Pf I'M ��cU�, ADDRESS 3,306 CITY DCS <br /> owrT=R NAME c 1. Dw PHONE <br /> CONTRACTOR Lva1 fox- CONT. PHONE <br /> I <br /> FIRE PELRMIT P 9 <br /> .—MIOVAL CLOSURE � PLACr I <br /> TEMPORARY CLOSURE ! <br /> INSPECTOR /�kQ- S DATE/J--a/- q/ TANK 39 (ti_ <br /> R RINSED (Y/N) '1'HOD R—TYSc AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITU <br /> S 1 <br /> E MANIFEST OR OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED i <br /> I A <br /> P RZADIYG AT R..L'%OVAL L.E.L. : 02: <br /> O <br /> R COMMENTS <br /> i C l TALC KAT ?Z3i.RGLASS, 0. <br /> O4�) <br /> S 'TANK CONDITION (GCCO, POCR, HOLES) i Rusty, � cc�,.a4i NOV4y le ` <br /> T I P I?E XAT—R—111, (STS'='r.. ;:I3ERGLASS, O <br /> THM? -z� FF_.�'-'T I <br /> � PI?E CONDITION ((3CCD, PCCR, HOLES) j <br /> 1� <br /> + <br /> DEPTH SOIL T`Y'PE' OSS'r.RVA2`ION SAMk-PL Z 7' <br /> E A I S t <br /> K -S— — + �✓ <br /> Nf I iu v <br /> S f EXCAVATION SIZE X X YDS OF SOIL, <br /> I � ; <br /> M DEPTH ISOII, TYPE iOBSZP.VATION � SAMPT r <br /> i a P <br /> L I i <br /> I P <br /> N E I i <br /> G I I 1 <br /> j TR.�TCH DSION X K I YDS OF SOLI I <br /> i D EP'I'S TO G.W• <br /> H :_..�_ *. Sir•-TG METHOD <br /> � � <br /> 2 HOURS SINCE OZWATMM�G: i <br /> 0 i <br /> f <br /> I <br /> f i LABORATORY: SAb!PLz-RS NAME: <br /> CLOSURE TV PLACE �(I,xTURE: VOLUME: <br /> I <br /> 7H 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />
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