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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0522496
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/15/2019 5:26:40 PM
Creation date
2/15/2019 2:44:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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M is 1 — '9 1 W E_ L } <br /> SIERRA <br /> FIELD WORK NOTIFICATION FORM <br /> DatA: ( 7- - <br /> From: <br /> Site name/location: j°^ `�`�••Gr��' -'"— <br /> Field work date: a LI /59 --- -----" <br /> The following field work will be conducted: <br /> Drilling activities: sol] borings/mo, <br /> well tnstallatlon <br /> Monitoring well development <br /> _Monitoring well Sampling <br /> ____Water (Free phase product) measurcmcnts <br /> .Underground storage tank removal <br /> Soil excavation <br /> Stockpile sampling <br /> Other: _.........--_._. -- — <br /> Please call AA A.1 RSI /s Sierra Environmental Serttces at <br /> e(/ -J 30 - 11k0 - if you have any questions regarding the proposed %vork. <br /> yq <br /> ?,1 AY 1 1991 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />
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