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SITE INFORMATION AND CORRESPONDENCE FILE 1
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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2103
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3500 - Local Oversight Program
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PR0544591
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 2:38:17 PM
Creation date
6/21/2019 11:32:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DTVI 1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS _ LEAD AGENCY <br /> --- AGENCY CONTACT <br /> CONSULTANT C <br /> r—L PHONE u/AREA CO <br /> CONTACT NAME PHONE [ON <br /> —^ <br /> OTHER CONTACT NAME or INFO j�,— PHONE <br /> SITE CWE # 1 /Q,� PROG/ELEMENT � 2� GIL LING CODE I ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED — DATE ON BMITTAL —^^ Of REQUEST I` — OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLII 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WRKPLA14 for PERMIT ACTIVITY 11 Y <br /> ASSESSMENT REPORT 0 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) S LETTER IB $ <br /> ASSESS RPT u/RAP 6 PUBLIC PART mro 19 REVIEW FEE PD CK #/CASA DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/^_ OT SCHEDULED: _/ /— OT COMPLETED: <br /> ACTION DATE ACTION DATF, —� ACTION DATE <br /> ACKNOWLG/COMMrMNT LTR REOSTD INCCMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION RWSTD PR DUE <br /> RWOCB C014MENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO REM DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />
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