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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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6421
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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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Entry Properties
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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J }SfM549IAPEX ENVIROTECN,INC. ENVIRaJ�rAE HEPLIH NO.527 __ P. 1 _... y. <br /> ° Vim, I ' itiANJOkQMNCOUNFY <br /> 5 E i' 2005 LN�'XI QMFTi7.'AL MEA]LTH AEPAk2'A N <br /> 4 304 East Weber, ycv ue,3`°Floor, Stockton,CA 95202-2708 <br /> e09)464-0I38 Wcb:wglw sgovor�lchd O 1*07 V <br /> EfvVIRONN1ENT HEj;[t1glPAOue:(209)469.3420 Far:(' (J <br /> PERMIT/901VICL5' td� <br /> PUBLIC UCORDS T2FT EA SP APPLICATION <br /> APPUCAW- Jet? �t� ©�s Fus:wc'SWAGENC71% �r2yfPG�, <br /> ADDRESS: <br /> PHONE(1): Cl/ o -$SI 017`-{ wE(2)=_Y.., _....__. i=AcsurtiL�: /fa77 <br /> TENTATIVE"APPOINTMENT DATE: Tana <br /> (Pituo Dhow 1e 1'=1r0 ss dars frc4n dab Of 7PFT"Ag0v slrtxnxw-'TM o6ye ooly-m=t tm CW&Mod) <br /> Cti[G1C BOK TO EXPED c5T� 33A0 CASH OR CHECK ONLY)-RFQUEST pflO=ED1N 3 B=WiSS DAYS <br /> ?SIG A7UR£OF APPUCA DATi 7-0 <br /> MaClisTMU'ho" Nti Dural T3 M4 DUait6 C] UNt6 ❑ WW(ol <br /> FILE ADDRESS EHD USE ONLY <br /> se eete q atraei Names cV <br /> 1, 1 O V Lod <br /> C <br /> s. <br /> s. <br /> s. <br /> 9, <br /> 10. <br /> Specific Dtte Rangy of information PegUas(sdt Fran tO , <br /> Eiv ARONMENTAL HEALTH DEPAPTMENT FILES d lr <br /> �Ur ot"TAW PST)zM"Wtm"P) CJ M=m ASATEMe a tl Saao WAM FAcMrfvMa.c <br /> ❑On1ER MEmlr Erm(Nor1-LOP) GFan FAcOm OWaaTeTrr <br /> i tur <br /> O UW*PnRum TNK(MorrowKAZM 1AU a DOG Ke14M M YABkcR:,A' <br /> O D CMma P=TMjrM10HT09- <br /> Fra <br /> 13 TrRM Pki4Ri�FAc+sTT a LUs �� <br /> a TATTOcMMPEiu'M@ D P oaMPA <br /> D MepGAL WASTE FAMM a Onast(REAat StE <br /> one!! <br /> ZLLno SWM PPWPZCarbs An AVAr��fore REMW Mamar.FRs�ra':oe Mf�� - ��•'�GHa�''s <br /> t. tan addresses to the space above Selectth@tyiie(s)of f+les from the i'istabov tltotheaddresste box(es): At Iesst one ftlo type idUST be safeeted, fax to(209i 464-013the <br /> 80 above_ Address ranges wgl not b?accoptad-for additiohal assistance tflx addresses,wntact <br /> Applications received Afoot 3:00 pm wlil be Pro�sd the naxE business will notify the applicant if any EHD ries az>at An appolntmont for reviewwill bo confirmed <br /> ately ten(10)days after rocelpt of application. Tho files wlll beheld fol'amaximum of frre busimoss <br /> review, pppoi11t1rtentsshould bascheduled accordingly. <br /> 3. A file that Is actively being Worked on by FJ4A staff may not be iminediatety avaJlab[e for raviow. Anew <br /> application may be submitted When the file Is available, EiD staff at the expense of the <br /> 4. Any file not ratumed in the same condition as rme laned will be ren $93 0o depositprior to review• <br /> applicant. Future file reviews by the sae applicant <br /> 4v„r <br /> F}lo�e,a��aJ6 <br /> Tram+ <br />
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