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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION MASTERFILE RECORD FORM <br /> GENERAL PROGRAM FILE: Ne.'::�< Change Edit IPROG41 revised 5/23/94 <br /> FACILITY ID # CC) I(t,'F(f-o FACILITY HAMS <br /> RECORD ID # U�S� PRIOR DIST # PRIOR SWEEPS '# <br /> Site Mitigation: Environmental Assessment ST/ al Hazardous Waste Invest 4azMac Pipeline Invest <br /> ther Lead Agency SiteAgency: I 1RWQCB DTSC I EPA L Site ater Quality Site I Jther Type Site <br /> DESIGNATED EMPLOYEE # ! l ) PROGRAM ELEMENT # s CURRENT STATUS <br /> NUMBER OF UNITS : l EPA ID #: INSPECTION CODE 3 <br /> Number of TANKS linked to this PROGRAM record <br /> BILLING ACKNOWLEDGEMENT: I, the undersigned owner, operator or agent of same, acknowledge that all site and/or project specific <br /> PHS-EHD hourly charges associated with this facility or activity will be billed to the party identified as the BILLING PARTY on <br /> the Masterfile Record Information Form. <br /> I also certify that I have prepared this application and that the work to he performed will be done in accordance with all SAN <br /> JOAQUIN COUNTY Ordinance Codes and Standards, State and Federal laws. <br /> APPLICANT'S SIGNATURE <br /> Title: Date: <br /> AUTHORIZATION TO RELEASE INFORMATION: In addition to the above, when applicable, I, the owner, operator or agent of same, of <br /> the property located at the above site address hereby authorize the release of any and all results, geotechnical data and/or <br /> environmental/site assessment information to SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION as soon as <br /> it is available and at the same time it is provided to me or my representative_ <br /> W ;t iaa` g1 <br /> DEADLINE DATES: Inspection: Current / / Prior <br /> Fee Amount Amount Paid Date of Payment Payment Type Receipt # Check d Recvd By <br /> a-7 a- `� a3 ✓ t I — <br />