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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ALPINE
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2900 - Site Mitigation Program
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PR0526874
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/1/2018 1:28:00 PM
Creation date
11/1/2018 8:32:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0526874
PE
2960
FACILITY_ID
FA0018201
FACILITY_NAME
FORMER MOBIL SERVICE STATION 99-CAS
STREET_NUMBER
75
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11514007
CURRENT_STATUS
01
SITE_LOCATION
75 E ALPINE AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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A.A. & B& ALLEN, INC. A.A. & BOB ALLEN, IN <br /> Btln• <br /> 2904 BEYER LANE • STOCKTON,CA 95215-2099 pqm <br /> 3904 BEYER LANE • STOCKTON,to 95215-- <br /> PHONE 9314135 •Fox 931-3233 - <br /> PHONE 931.3535.Fax 931-3232 <br /> NO 11 ra :; NO 11939 <br /> Paint of Origin:______/___2�_6J --- - ---------- i Point of Origin:_All J� - <br /> { - / tl-llG -------- <br /> Time:- Time: -7: <br /> Point of Destination: � C J <br /> �.� � Point of Destination: <br /> Contractors Name: ----.__ -- <br /> J �t!-- -----/� ; Contractors Name: - ...... <br /> -..... <br /> No. of Tons or Yards:------- <br /> f--�Lzl{.r�------------------------- No. of Tans or Yards:-----�-{'r----------- - <br /> / r <br /> Truck Na -------------- -L_l------------- Truck No - 1 �=f ?4 - <br /> Driver s Sig ature - ---------------------------------- <br /> Driver'slignature <br /> A.A. & BOB ALLEN, INC. A.A. & BOB ALLEN, IN <br /> 1904 BEYER LANE • STOCKTON,CA 952154099 Mn 2904 BEYER LANE • STOCKTON,CA 95215-2'. <br /> PHONE 931-3535 •Fax 931-3232 PHONE 931-3535 •Fax 931-3231 <br /> NO 11- 9/1 ( l / / _^y/� NO 1 "1941. <br /> DAT __Ll__E C- -`_-_ ✓-__4_/✓-__ DATE -(_ -_[__Point of of Origin: --------- --------------------------------- Point of Origin:------ 4 .� - <br /> Time-------------------------- Time:-------------------- <br /> / -- -- Point of Destination:.__ __ <br /> Point of Destination:.---_ ._ ___t �1 � <br /> - ----------------- <br /> Contractors Name: --------7,r__42} _r----E -------- Contractors Name: _--- 1 <br /> No. of Tons or Yards:---------- -------------------- No. of Tons or Yards:.--_--1_moo <br /> ------------------------ <br /> Truck No ------------- -------- Truck Na �-l <br /> ----------------- -- -- - - <br /> ------------ - - - --- ---- ------ --------------- --- <br /> Driver's Signature Driver's Signature <br />
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