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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 JOAQUIN Cp'-' - PUBLIC HEALTH SERVICES/ENVIRONMENTAL to DIVISI <br /> `r1TE MITIGATION/ASSESSMENT SUBMITTAL LOG tel 1 670 - a 9 <br /> SITE NAME OT1(t;RD <br /> ADDRESS AGENCY CONTACT <br /> CITY ZIP PHONE w/AREA CD <br /> CONSULTANT COMPANY TACT � �f��p �� <br /> OTHER CONTACT NAME or IMIFORMATI <br /> F <br /> SITE23. ASSESS—DHS / RWOCB 22. ENVIRON ASSES 22.18 PILO23.� FUND SOU / F TASK / <br /> SWEEPS 1/SITE CODE #1/ �2 C` DIST 7 . LOC CD ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ,7-/j / DATE OF SUBMITT / / BILLING FORM INITIATED _/_/ OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD FEE PO CK 1/CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) 1 PERMIT APPLICATION 10 1 <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY It <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 1 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPUW w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR 4 <br /> STAFF REVIEW DUE _//_ OT SCHEDULED _/_/_ OT COMPLETED_/_/, <br /> ACTION DATE ACTION. DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REDSTD INCOMPLETE/ADDTNL ILEO REOSTI SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REVIEW PAR DUE <br /> OTHER AGENCY APPROVAL TLE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED � REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORK SUBMITTED <br /> EH 23-117 81-57(IV112/81 PLNLOG <br />
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