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SITE INFORMATION AND CORRESPONDENCE FILE 3
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544591
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/21/2019 3:12:00 PM
Creation date
6/21/2019 11:55:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
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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IT <br /> ARCADIS BBL <br /> Infrastructure, environment, facilities ARCADIS U.S., Inc. <br /> 10470 Old Placerville Road <br /> Suite 110 <br /> Transmittal Letter Sacramento <br /> California 95827 <br /> To: Copies: Tel 916.843.1900 <br /> Mr. Mike Infurna 1 Fax 916.857.0124 <br /> From: Date: <br /> Tonya Myers 03. 02.07 <br /> Subject: ARCADIS BBL Project No.: <br /> Well Permit 45492 <br /> We are sending you: <br /> M Attached ❑ Under Separate Cover Via the Following Items: <br /> ❑ Shop Drawings ❑ Plans ❑ Specifications ❑ Change Order <br /> ❑ Prints ❑ Samples ❑ Copy of Letter ❑ Reports <br /> ® Other: Well Permit for 2103 Country Club Blvd, Stockton California <br /> Copies Date Drawing No, Rev. Description Action* <br /> 1 3. 02.07 Well Permit Application FA <br /> 1 3. 02. 07 011985 Check in the amount of $89.00 <br /> Action* <br /> ❑ A Approved ❑ CR Correct and Resubmit ❑ Resubmit _ Copies <br /> ❑ AN Approved As Noted ❑ F File ❑ Return . Copies <br /> ❑ AS As Requested ❑ FA For Approval ❑ Review and Comment <br /> ❑ Other: <br /> Mailing Method <br /> ❑ U.S. Postal Service 1 " Class ❑ Courier/Hand Delivery ❑ FedEx Priority Overnight ❑ FedEx 2-Day Delivery <br /> ❑ Certified/Registered Mail ❑ United Parcel Service (UPS) ❑ FedEx Standard Overnight ❑ FedEx Economy <br /> ❑ Other: <br /> Comments: Following are a well permit application a check and a site plan for your review and approval. <br /> �a� �, <br /> Our f e� W Y' �1�� /\ Page. <br /> OurRef <br /> 1 /1 <br />
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