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SITE INFORMATION AND CORRESPONDENCE FILE 2
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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2575
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
6/21/2019 5:41:47 PM
Creation date
6/21/2019 3:17:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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�J APPLICATION FOR WEIIIPUMP PERMIT <br /> �P .AN JOAOUIN COHNIV PUBLIC HEALTH SERVICE. 'TEPT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 383,304 EAST WEBER AVENUE,STOCKTON,CA 95201 SBR <br /> 12091 4853420 <br /> NON-REFUNDABLE PERMIF EXPIRES I YEAR ERRM OATS ISSUED <br /> IUNTPIO.IR TIIrlk.1EI <br /> ARLCAIION IB 1.1 lI MACE 10 ryN LAN MAgllx COUNTY FOR A IEpMII TO COMLIIwCT AIppOIRMAIL IIIE WOR{DESCRIBED,IF..MVCAIbN M MAGE w COMPLIANCE Wllll"All <br /> JOAW W COVMY OEVEL�OLRAFNT'MIT CIINfEn P-I I I5.3 ANO 111E WANDIARIL OF BAN ITAgnN COVx1Y RIpI1C mµ!11 RPVICEL.F.NO.MENTµmµM'gVIWON. <br /> JOB ALORLpron APML.II NIN Bt�d w�ITmwwh Ra C.- SI,ro/ckAro_n•�I T "ARGIL Tooloo E M <br /> DWmRLNANF /Ctlt( oT �,SE��� AgxIL..39S&A61(LYAµo .SI ....20_:337���9 <br /> cONlwslon EFX/J�1�910IlS.���I �Ry (� ...-LOT[}_T n� {,aEILLI IICR Rbm'jpj:jjS'//tfe <br /> MJe COMMRCIOn (ZqK &NtlPLQ AgxlEee � /�ohF t IJc' t�.5� RMIMF wJY03/3'.�EB <br /> rvROFYMLLMMIP: yV�... OI IIERACEMEm well PMOIMOIMIR—UL-mgO6NW-0 ❑armn <br /> ❑ROMAIIATroN 13 FELL BVBIEM ROAW ❑CMppcnxrllcl n"AM ❑VMpn EU'RATIm MLLI <br /> ❑xnO MAIN, N.P. CERII RMI,DEI fI. FRUIT WATER IEVEL <br /> FT.a FMR — <br /> O <br /> 13OtlSOMME FILL ❑OEORIYMCN ARILI ❑ LOB BOM1NO p <br /> g1010F0 VSE Op W 4ONe.Oc of PIMMIC A b A <br /> ❑TROUT.µ ❑ORT BOROM M.OF ANIL EMCAVAl10N I(`� qA,Oi CONgIC1MCAfMµ O <br /> ❑ooMLnICeNVAIE TjDoMWI PAcelfflutf TeL2o nROFCANFQAFFDI,Mc F <br /> rVG Do.o, EH.CAIMII .]'I O <br /> ❑NellCmUNKM. op"'Ll Olbul IN. A BRcNR,AIMN <br /> A <br /> ❑InVOAIbnrAO 13."R. OOpur BEu wpTMlED er <br /> GROUT eMxO FINITE11pp E <br /> IAMOMIORINO ..M...FORT.:1BVw 014 cONCREIL ROFSIµBY gMLfR yIY� QIN d <br /> AM10II.DEAN loc...,TTUM.BObBIOVE LYE I <br /> PMPOC[OCONB111INTp NDN'tol ME11bO: .11.MFMr AIR RMT ATY /MMFR_X �CAME OIINR <br /> I HEREBY CERTIFY THAT I NAT!FREPARO TIM.Al 10ATION AND THAT TIM WTIK ML IF DOME w ACCOTAMCE MTM-AN bAWM COINIIY OWNNANCIL RATE OWL.AND.1.AND <br /> MOWATMNB OF TIM MN"AM"COUNTY. MO.E 0W 111 M LREMEO FAINT eMMAT1IN11 CERINIES TIM FOLLOWMNM'I CEM"THAT N lm RROIW 4bf OF TIM VAIR FOR AMUCT <br /> I MIT"MIT 19HWEO.I IIM L NOT EMPLOY RRMNS MUSACT IO WORNMAM'a CONFIRMATION 4WB M CM NORMA.'COM MCIOR'I NmMO OR NB CONMR,c1RO.OHATOR,CROFT. <br /> 111E IIX(OFwO: •IOFmNY FIAT R TIN RRFORMAME OF TIN NOW µ111011111M RPMT IB ILNFD.IRI.L EMPLOY RIMONS NMMcr To WORTNUM,'I CONFIRMATION TAW.OF <br /> CNNORMA. AIRIC F OUNIIT.ADVANCE FOR ALL BFOIM(p�)gB�IyBC�IINMNSA11.1IMiA-R COMRET EOM.AT IONER ARA 1t1ONIFO. <br /> T4�J A'_ �tT/Yl OR. to/i�2( (.�n��l/ D.,. to/ C/ <br /> ROl IUM 10..w 1.M.IN MN._ <br /> AMFS OF SIREFIt OR WbB mARpT IO OR pOVHgN0111E RWRIIIY. A,lOCA'.N OF ROOM MWAOE.SPoSµBYLII.OR RIIINRD <br /> i. OUT MITE OF IIIE TIMIDITY,wNNO DIMFMMONe AND IMgN qW CI ON. FNPAMMOx OI YfWAOE nMtleµSY.EMe. <br /> ISTBUCTVI <br /> bTLO OLMANO e LoM10 <br /> cN OF All 1AIwMIp <br /> IMO ANO, pm <br /> S.IWII INN MOW.O . <br /> VOEp,WCLVOINO COVERED APJAL GULF AT PAtpt,OnVEWAVL,ANTI WAIRS. OM OCAIbN OF U. I ON(I..INTY IT <br /> TIN IYIORRIY OR ADMMUNO"MRmY. <br /> S I't W�u� Irl cGec( <br /> OF.ARIMINI OFF TNI, EN '` /�' _ <br /> APrF..14n <br /> A.-U.B1 U•Z`I A... <br /> aw <br /> FARINA.q v ON. IF <br /> p�MnN.n MAP bA al.IF— <br /> tan cYagZ�vlP,Ea.�_QPi�Nl��6Y5(o�tya1 8 <br /> COUNTING ONLY: AMN ,ACI <br /> IT CODES FIFMM AAHluxl nBMn[O aIFCMrcnN RE➢OVEO Er DAVE PMMITnf11FCE"TRAIN,x1lAMn IxvolcE <br /> 9.2 D1Uo2 <br /> Pub.HBLAD SLI,.-Enoil 173(3NM <br />
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