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REMOVAL 2000
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231211
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REMOVAL 2000
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Entry Properties
Last modified
5/15/2019 1:42:27 PM
Creation date
5/15/2019 11:39:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2000
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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10/17/2000 09:00 209468433 FIFTH FLOOR PAGE 11 <br /> BACKFILL rXCAVATION CERTIFICATE <br /> ProjectLocatlon 6425 PCIFIC AVENUE STOCKTON, CA 95207 <br /> Owner MA TER LLC MARK YEKTA PhoneNo.g25—aIe_3444 <br /> Co>mraeoor W. A_ r.R A I G. INC Phone rto.7 0 7—6 9 3-2 9 2 9 Llceose ljo. A 4 5 5 7 5 2 .`_. <br /> INDICATE ME-MOD OF BACKFILL QUALfTY ASSURANCE <br /> 1• Subo"S"'on of Soil Engineer'$Compaction Report witbin 30 days of project cotnpledon, or <br /> •-Y- 2_ Submission of v&iffa ion, e.1.1 load ticket. within 30 days a{project completion that ane of the followlr g matef" wad <br /> Placed n the excavarion in 12 lit : <br /> A. Pea gravel--smooth,rounded material not more than one-half(1/2)inch is diameter <br /> B. Crii_stxd rock—Self-comp ttn� IAAtdial not more glatr three quartets (3/4) inch lI3 cress cettional <br /> McHback 11 mat r CUse of C=Sb will not be perntitted.fT hackf511 if cotnact will be made between the <br /> 1ncL-ftll mat and tanls/pipea made of poly cesi i glass or similar tnat+etialaJ <br /> DECLARATION <br /> I herebycertify that a Soil EY_-'s Compaction Report will be submitted within 30 dye 7f( etion, or sub=anon of <br /> vasi5catlon tltru the xlect mar�.r dmcribed above wilt be placed az a mmmtara VE five (5} tn�"e da Por 1000 a�1w mnx <br /> Appendix Obapltr 70,the treilre excava8on w111 be backthled and compacted to Shstre compliance with the Un foram Bu-ITZ Code <br /> Zile ur <br /> s <br /> gRRlUle <br /> Shall be The responsible managing"Joyx on the Heense or authorized agent, <br /> TT[n DKI 9IV2U V M 9Z6Z C69 LO-1 YVd 92:9T 00/CZ/OT <br />
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