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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
3/4/2019 5:53:12 PM
Creation date
3/4/2019 2:07:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SAN JD(U"—* COUNTY — PUBLIC HEALTH SERVICES/ENVIRONMENT AF T1l.UMISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL L*%& 1a B IAC <br /> SITE NATE <br /> D NC <br /> ADDRESS AGENCY CONTACT <br /> CITY ZIP PHONE w/AREA CD <br /> CONSULTANT COIp(WY CONTACT <br /> OTHER CONTACT NAME or INFORMATI <br /> 11GT SITE 23. ASSESS—DHS / RWOCB 22. ENVIRON ASSES 22.48 P1L0 23. FUND SOU y/IF TASK f <br /> SWEEPS 1/SITE CODE r 2 DIST LOC CD / ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED �f/4/ DATE OF SUBMITT 20/ S--/ BILLING FORM INITIATED / / OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL IOTHER) COFEE PO CK UCASI DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) 1 PERMIT APPLICATION 10 <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADOTL ASSESS PROPOSAL 4 ASSESS REPORT/with WOW" 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) S ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DUE OT SC)fAUD _/ /T OT COMPLETED_/_/_ <br /> ACTION DATE +ACTION. =DATE ACTION DATE <br /> ACKNOWLG/COMATMNT LTR REOSTDINCOMPLETE/ADOTN. INFO REDST gpp DUE <br /> ACFJALG/COMMTMNT LTR RECVD REVISION REOSTD PR DILE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FO DUE <br /> ADDENDUM/ADDTN. INFO RECVD DENIED 4. . REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WOW" APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> EH 23-117 81-57(IV)12/81 PL.NLOG <br />
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