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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/7/2019 11:23:15 AM
Creation date
11/7/2019 11:20:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0506374
PE
2960
FACILITY_ID
FA0007376
FACILITY_NAME
LUCKY STORE
STREET_NUMBER
610
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
610 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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i f <br /> MODIFY CONTAMINATED MFR SITE DATA UPDATE: PRIORITY <br /> Site Code : 9328 09/18/96 Name Code 999 <br /> UGT: LOP H W: Site Mitig: PWS : Priv Well : Env Assess : <br /> Solid Waste : H2O Q: EPI : ILand Use: othr Agency Rept : x Emerg Resp: <br /> Entered LOP: SJ/PHS Contact : Meays LEAD AGY: DTSC <br /> NOR sent : Loc Code : 02 Dist : 4 1 Prog/Element : 2960 <br /> Fund Source : Fed Exempt : N WDR Y/N: N NPDES Y/N: N <br /> Site Specific Quarterly Report Information <br /> 1 TCE 2 3 4 5 <br /> Site Code : 9328 Petroleum: N <br /> Site Name : Lucky Store #110-130 Date Reported: <br /> Address : 610 West Lodi Ave Date Confirmed: <br /> City: Lodi CA Zip: 05240 Multiple RP ' s : N <br /> .......... .......... .................. ......... Site Status ..... ................... ............. <br /> Case Type : S Emergency Response : Contract Status : 1 Status <br /> Changes <br /> RP Search: Underway Completed 1 09/18/96 <br /> Preliminary Assessment : 2 <br /> Remedial Investigation: 3 <br /> Remedial Action: 4 <br /> Post-Remedial Action Monitoring: 5 <br /> Enforcement Action Taken: Type: Date : 8 <br /> LUFT Consideration: 9 <br /> Excavation Started: Case Closed: Date : <br /> Remedial Action Taken: <br /> ......... ,,,,,,.. ....,,...... SITE AND FILE STATUS ........ <br /> Water Depth: 40 Gradient : Wells Nearby Type <br /> Last Sample Date: 00/00/00 500 ' ---> Y IR ---> N <br /> 1000 ' ---> Y DOM ---> Y <br /> Flag Date: 00/00/00 2000 ' ---> Y PUB ---> Y <br /> ............................................................ Contaminated MFR ................. ......... <br /> ►FPT: N ►Soil : Y ►GW: Y <br /> Failed PT: 00/00/00 Soil Con: 00/00/00 GW Con: 00/00/00 DW Con: Y <br /> Prior Failed PT: N No Action: N MW Destroyed? : False <br /> Consultant : Montegomery Watson-Chris Chan I Phone : 510-975-3473 <br /> UAR # : _> 00/00/00 Prop65 # : _> 00/00/00 <br /> Street # : 610 Street Name : Lodi Ave APN # : <br /> Responsible Party <br /> .......................................................... <br /> Company Name : American Stores Property Phone : 801-961-5776 <br /> Contact Name: Barbara Russell Phone : <br /> Address : PO Box 26948 <br /> City: Salt Lake City State : UT ZIP: 94126-0948 <br />
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