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REMOVAL 2003
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 2003
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Entry Properties
Last modified
5/15/2019 12:02:56 PM
Creation date
5/15/2019 11:52:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2003
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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EHD - Public
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F <br /> ENVIRONMENTAL HEALTAEPARTMENT <br /> � <br /> Y °U'" �� SAN JOAQUIN COUNTY <br /> .o Unit Supervisors <br /> Donna K Heron,R.E.H.S. Carl Bergman,R.E.H.S. <br /> 304 East Weber Avenue, Third Floor <br /> ' Director Mike Huggins,R.E.H.S.,R.D.I. <br /> At Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> • �.. r• Program Manager Telephone: (209)468-3420 Margaret Lagorio,R.E.H.S. <br /> 4i Laurie Laurie A.Corolla,R.E.H.S. <br /> Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> . <br /> Program Manager Mark Bazcellos,R.E.H.S. <br /> October 22,2003 <br /> Jim Thorpe Oil Corp. <br /> P.O. Box 357 <br /> Lodi CA 95241-0357 <br /> Re: 6425 Pacific Ave,Stockton <br /> The permit application to remove an underground storage tank from the above referenced <br /> facility has been approved with the following conditions: <br /> 1. See pages 7 & 8 of the permit application for required analytical tests. <br /> 2. Soil samples must be analyzed by a California Certified Laboratory. <br /> 3. A copy of the fire department permit must be submitted at the time of removal. <br /> 4. In addition,the following information must be submitted within 30 days of the <br /> removal date: <br /> (a) Analytical results,mailed from the lab <br /> (b) UST Tracking Record Sheet and Tank Hazardous Waste Manifest <br /> (c) Tank Closure Certification Form <br /> (d) Hazardous Waste Manifest for piping, rinsate,residual fuel, or waste oil receipt <br /> (e) Submit the backfill excavation certificate as required by San Joaquin County <br /> If you have any questions please contact me at(209) 468-9847. <br /> Thank you,, <br /> Michelle Le, Semor R.E.H.S. <br /> Registered Environmental Health Specialist <br />
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