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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 JQAOUIN W-" - PUBLIC HEALTH SERVICES/ENVIRON3IENTAL 11E<' "' DIVISION <br /> t,.TE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE N - ZZZ/ OTHER LEAD AGENC <br /> ADDRESS AGENCY CONTACT 1 <br /> CITY IP PHONE "/AREA CD <br /> CONSULTANT COMPANY CONTACT = <br /> OTHER CONTACT NAMEaw INFORMATI <br /> l�T SIT 23. ASSESS—DHS / RWOCB 22. ENVIRON ASK 22.48 P1L0 23. FUND SOU S / F TASK 0 <br /> SWEEPS R/SITE CODE 0 S-r6- �� 1ST 51 LOC CD Q 1 ASSIGNED TO �• �� <br /> TITLE OF SUBMITTAL! <br /> DATE RECEIVED F SUBMITTP4ay/j±/9d BILLING FORM INITIATED /_/ OT (COST <br /> TYPE OF SUBMITTAL IPILOT) CO TYPE OF SUBMITTAL (OTHER) CO FEE PO CK 0/CASE DATE <br /> RE-EXCAV/SOIL CONTAMINATION (ORKPLAN (SL'WP) 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 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 ITHER WRKPLAM a/o PERMIT ACTIVITY 16 <br /> ADDITIONAL. ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN (FRP) B <br /> ORTLY REPORT/POST REMED TUTOR 9 <br /> STAFF REVIEW OLE _1_/_ OT SCHEDULED _/_/_ OT COUIPLETED <br /> ACTION DATE ACTION DATE ACTION DATE <br /> AC)(NOWLG/COKNTMNT LTR REDSTO INCOMPLETE/ADDTNL INFO REUSTI SRP DUE <br /> ACKNXG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETPAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUN/ADDTNL INFO AECVD DENIED REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED, OTHER AGENCY DUE DATE <br /> WORKPLAN DROVED LTR SENT D LL1NG FORM SUBMITTED <br /> EH 23-117 89-57(1V)12/89 PLNLOG <br />
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