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2900 - Site Mitigation Program
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PR0543854
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COMPLIANCE INFO
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Last modified
6/11/2021 4:58:27 PM
Creation date
6/11/2021 3:35:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543854
PE
2960
FACILITY_ID
FA0024935
FACILITY_NAME
FORMER CHEVRON 94054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
01
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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RECEIVED <br />OCT 2 2 2018 <br />ENV IRON NI ENTAL HEALTH* <br />DEPARTMENT <br />Transmittal <br />Date: 10/17/18 <br /> <br />Reference No.: 11153683 <br />To: San Joaquin County Environmental Health Department <br />Attn: Lor Xiong <br />1868 E. Hazelton Avenue <br />Stockton, CA 95205 <br />Subject: Soil Boring Permit Application — Former Chevron 94054-2103 Country Club Blvd, Stockton, CA <br />No. of <br />Copies <br />Description/Title Drawing No./ Issue <br />Document Ref. <br />1 Soil Boring Permit Application <br />1 <br />1 <br />MFR <br />Work Plan <br />1 RWQCB Approval Letter <br />1 Site Hazard Information <br />1 Site Plan <br />1 Check #71047 in the amount of $760.00 <br />Issued for: E Your information 1:1 As requested <br /> E Construction 0 Quotation <br />1:g Your approval/comments El Returned to you C] For re-submission <br />Sent by: E Courier Email <br /> 0 Mailed under separate cover CE Mail enclosed <br />Remarks: <br />Please contact me with any questions at BEN.SUMMERSETT@GHD.COM c.916-919-0479. We have the <br />work scheduled for November 8, 2018. <br />Copy to: <br />Completed by: Ben Summersett Signed: <br />[Please Print] <br />Filing: Correspondence File <br />GHD Services Inc. <br />943 Reserve Drive Roseville California 95678 USA <br />T 916 889 8900 F 916 889 8999 W www.ghd.com <br />
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