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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0505548
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/17/2019 9:18:25 AM
Creation date
5/17/2019 8:58:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505548
PE
2960
FACILITY_ID
FA0006852
FACILITY_NAME
OCCIDENTAL CHEMICAL CORP
STREET_NUMBER
1904
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16302041
CURRENT_STATUS
01
SITE_LOCATION
1904 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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1446 ONRTRIX FRESNO 559 264 7431 P.02iO3 <br /> RaretjJOAQUIN COUNTY PUBLIC HEALTH _, .ICES Report x. sot: <br /> RUnIrl <br /> Facility Information as of 10/16/01 r- Page u; 1 <br /> Record Solactcln Charts: Facility lD FA0006852 <br /> Make changes/corredons In RED ink or pencil. <br /> moi- INFORMATION CHANGE(date) <br /> v5 mc,I OWNERSHIP CHANGE (date) <br /> OWNER FILE INFORMATION <br /> Owner ID: OW0005622 New wnerID <br /> DWnerNoma: VOLPI, LEO AND EVA M14 SPR n1gS Pfi+�FOtone.l <br /> owner DBA: A VOLPI AND SON INC — <br /> Owner Address: 4621 BRIDGEWATERCIRd 2h p r�u� 2,aF S�r� X00 <br /> STOCKTON, CA 95219 i[ <br /> 7n L -- ft ty K� qo o� <br /> Home Phone: 209-473-2265 <br /> Work/BusinessPhone 209-464-6768 g, 5 �2too <br /> Mailing Address: po BOX 58 <br /> HOLT, CA 95234 <br /> Care Or: BEVCEREDA k*,4 X21 _ <br /> FACILITY FILE INFORMATION <br /> Facility ID: FADOD6852 <br /> Facility Name: OCCIDENTAL CHEMICAL CORP <br /> Location: 1904 W CHARTER WY <br /> STOCKTON, CA 95205 <br /> Phone: 209-472-202D <br /> Mailing Address: p OX 72 ---� <br /> NIAG ALLS, NY 143020728 <br /> Care of: NIC Location Code: 01 - STOCKTON APN: 1(03 -67-o- 1y ryGg_ozp-y1 <br /> SO$District 001 - GUTIERREZ, STEVE SIC Code: <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID: AR0009556 New Account ID: <br /> Mail Invoices to: Account Mall Invoices to� vme /Facility/Account <br /> Account Name: �trcht ne <br /> Account Balance as of 10118/01: $43.50 <br /> (Gin:le Ona) <br /> Transfer to Acliverinectwe <br /> PmgamlElemam and Description Record ID Employee ID and Name Stater New Owners Delete <br /> 2960-RWDCH CLEAN UP SITE PR0505548 EEOODD684-MICHAEL INFURNA Active Y N A I D <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,Ina undersigned owner,operalar or agent of came,acknowledge that all eAe,ardlyr pFD*i speclfle,PHSrEHD hourly neraes associated wim IhS, <br /> facilStacey or oerFedera be billed to the potty idantlded as Iha NER on Ihis torn, I also certily[hat all operations will ho perlormed in aecwdancewlth all sppfcabla Ordinate Codes and/or standards and <br /> State aor ac Federal laws. - <br /> _ <br /> Fc,L Hra�aS +,t� >;p,p,,,,ySS P�.a-�Enr<�t e.J Mew.ayEi+6. <br /> APPLICANT'S SIGNATUR - SSC <br /> Date <br /> Program Records to be TRANS EKED: _ '$20.00= Amount Pald Date <br /> Water System to be TRANSFERED: '$15D_DO= Amount Paid <br /> Payment Type Z — Check Number 9�i'�y Gre:;t IS&d;itomber�`�- Received by <br /> RENS: _. Date / / Account out: , / Date-Z�-/-2-q-JQ-L_ <br /> COMMENTS: <br /> l f1/V D�(o69 RECFIEI <br /> C I S2i031 <br /> SANJOAGU <br /> PUBLIC HE' <br /> ENViROP11AFI,�.Tr. - <br /> ,\phs-ehsq bnhappslanvlsionslreports15023.rpt <br />
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