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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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C
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COUNTRY CLUB
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1856
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3500 - Local Oversight Program
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PR0544589
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/21/2019 11:27:44 AM
Creation date
6/21/2019 9:32:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544589
PE
3528
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
02
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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MODIFY CONTAMINATED MFR SITE DATA UPDATE: PRIORITY <br /> Site Code: 1069 03/08/99 Name CAQT Code 1A5 <br /> UGT: Y LOP Y H W: Site Mitig: PWS : Priv Well : Env Assess : <br /> Solid Waste: H2O Q: EPI : Land Use : Othr Agency Rept : Emerg Resp: <br /> Entered LOP: 03/10/99 SJ/PHS Contact : INFURNA LEAD AGY: LOP <br /> NOR sent : Loc Code: 99 Dist : 2 Prog/Element : 3527 <br /> Fund Source : F Fed Exempt : N WDR Y/N: N NPDES Y/N: N <br /> .................................. .................................. <br /> •••••••••••..................••••• Site Specific Quarterly Report Information ••• <br /> .................................. .................................. <br /> 1 8006619 2 3 4 5 <br /> Site Code: 1069 Petroleum: Y <br /> Site Name: ELDER' S FOOD & FUEL MART Date Reported: 03/05/99 <br /> Address: 1854/1856 COUNTRY CLUB BLVD Date Confirmed: <br /> City: STOCKTON, I CA Zip: 95204 Multiple RP' s: N <br /> ................................................................ .................................................................. <br /> ................................................................ Site Status .................................................................. <br /> .......................................................... .................................................................. <br /> Case Type: S Emergency Response : Contract Status : 1 Status <br /> Un erway Completed Changes <br /> RP Search: S 03 08/99 03/08/99 1 03/08/99 <br /> Preliminary Assessment : 2 <br /> Remedial Investigation: 3 <br /> Remedial Action: 4 <br /> Post-Remedial Action Monitoring: 5 <br /> Enforcement Action Taken: Y Type: 1 Date : 8 <br /> LUFT Consideration: 1 H S A- 9 <br /> Excavation Started: Case Closed: Date : <br /> Remedial Action Taken: <br /> ........................................................ SITE AND FILE STATUS ....................................................... <br /> ....................................................... ........................................................ <br /> ........................................................ ........................................................ <br /> Water Depth: 8 Gradient :NE Wells Nearby Type <br /> Last Sample Date : 03/05/99 500 ' ---> IR ---> <br /> Flag Date: 00/00/00 2000 ' ---> PUB ---> <br /> ............................................................ ................. <br /> Contaminated MFR •....•••"'••••••"•••••••"•""••• <br /> ............................................................ .............. <br /> ............................................................ :..............:::::::::::::::::::::::::::::::::::::::::::: <br /> ►FPT: N ►Soil : Y o,.GW: N <br /> Failed PT: 00/00/00 Soil Con: 03/05/99 GW Con: 00/00/00 DW Con: N <br /> Prior Failed PT: N No Action: N MW Destroyed? : False <br /> Consultant : AGE, TIM CUELLAR Phone : 467-1006 <br /> UAR #: _> 00/00/00 Prop65 # : _> 00/00/00 <br /> Street #: 1854 Street Name: COUNTRY CLUB APN # : 123-191-02 <br /> Responsible Party ..........................................................• <br /> ................................................::::........ <br /> Company Name: FASSEL M. & AMAL MAHMOUD ELDER Phone : 209-239-4347 <br /> Contact Name: "PHIL" ELDER Phone : <br /> Address : 4880 PEACH AVE <br /> City: MANTECA, State : CA ZIP: 95337 <br />
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