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SITE INFORMATION AND CORRESPONDENCE FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 2
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Last modified
3/4/2019 6:55:51 PM
Creation date
3/4/2019 2:20:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
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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i <br /> T�.17-2007 17;30 CAMBRIA <br /> 1707 935 6649 P.03iO3 <br /> from any and all claims by third parties arising.out of the work performed by�Shell under , <br /> this agreement. <br /> Please sign below to signify your consent.and return this letter with the attachments in the <br /> enclosed stamped envelope.Keep the second copy for your records. <br /> We appreciateyour co oration in this matter and would approcioe,your timely <br /> o'P <br /> response.If you have any questions,please call Mike Murphy at 707-933-2367. <br /> Thank you <br /> SHELL OIL PRODUCTS US <br /> By. <br /> Denis L.Brown <br /> Project Manager <br /> I have reviewed your request and I hereby consent to the entry by Shell Oil <br /> Products US upon my property for the purpose of performing the work described <br /> herein.I understand that I may be prevented from using a portion of my property <br /> and I agree to the minor disruption of the normal use of my premises as described. <br /> I further represent and warrant that I am the owner of the property located at <br /> $50 West Charter Way,Stockton,California with full authority to provide the <br /> consent given abuve. <br /> [OWNER] <br /> cd <br /> Signature: <br /> .....r ---V <br /> Print Name: &M/,V%g 4. .r/w 4 <br /> Date: <br /> Attachments:3 <br /> Z <br /> TOTAL P.03 <br /> EO 39Vd 2VETIN 3INN3E bb0T966B0b 94:ET L00Z/bT/0T <br />
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