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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 JOA COUNTY — PUBLIC HEALTH SERVICES/ENVIRONMEA,__,HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL. LOG 4 <br /> SITE NAME �! OTHER LEAD AGENC <br /> ADDRESS L') AGENCY CONTACT <br /> CITY ZIP PHONE w/AREA'CD <br /> CONSULTANT COMPANY CONTACT r <br /> OTHER CONTACT NAME or INFORMATI �CQ� <br /> VIV <br /> UGT SITE 23. ASSESS--DHS / RWOCB 22. ENVIRON ASSESE 22.48 PILO 23._ FUND SOUR S / F T <br /> SWEEPS I/SITE CODE O'L DIST LOC CD ASSIGNED <br /> TITLE OF SUBMITTAL: �' 1 <br /> DATE RECEIVED /_/ DATE OF SUBMITT // BILLING FORM INITIATED <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD FEE PO CK (L/CA DATE <br /> RE—EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) 1 PERMIT APPLICATION `_— 10 t — <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 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) B <br /> DRILY REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DUE _/_/_ OT SCHEDULED OT COMPLETED / / <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCOMPLETE/ADDTNL INFO REOSTE SRP DUE " <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL 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 89-57(1012/89 PLNLOG <br />
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