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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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2900 - Site Mitigation Program
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PR0505070
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Last modified
1/17/2020 5:03:46 PM
Creation date
1/17/2020 3:27:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505070
PE
2960
FACILITY_ID
FA0006510
FACILITY_NAME
CHEVRON PIPELINE
STREET_NUMBER
0
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
214-020-10
CURRENT_STATUS
01
SITE_LOCATION
GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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' <br /> F SERVREQ ' ^ SERVjqE REQUEST - � <br />� Facility ID Facility Nome <br /> Record ID 013039 Location _ GRANTLINE 8 CORRAL HOLLW, onsit <br /> Property Owner PHILLIP CARDOZA/CHEVRON PIPELN ` <br />'| Business Name PRIVATE OWNER, C/O CPL <br /> Street Number Dir Street Name Type Unit <br /> NW GRANTLINE/CORRAL HOLLOW X <br /> 2nd Address 4000 EXECUTIVE PKWY, # 400 <br /> City SAN RAMON, ` - State CA Zip - <br /> Phone 1 510-842-6855 Ext _ APN 214-020- -0 ---' <br /> Phone 2 415-434-9400 Ext <br />� Census 000001 District 005 Location 03 Citycode <br /> Requestor MARTIN BLOES, GEOMATRIX for <br /> Business Name BEYLIK DRILLING, C57 #306291 ` <br /> Address 1 3429 LONGVIEW RD, <br /> Address 2 <br /> City NORTH HIGHLANDS, State CA Zip 95660- <br /> Phone Number 916-485-0792 Ext <br /> Nature of Service Request - <br /> ONSITE BORING PERMIT FOR THREE (3) ONSITE GROUNDWATER EXTRACTN <br /> WELLS UNDER CVRWQCB/W. WYELSAPPROVAL. IN CONJUNCTION WITH OFF- <br /> F~Find E=Enter U=Update D=Delete Page 1 9 : 36 :30a <br /> F SERVREQ SERVICE REQUEST <br /> Comments <br /> SITE EXTRACTION WELL PLACEMENTS ALSO (SR# 013048) . MARTIN BLOES PERSN � <br /> CHECK # 1834 TO COVER PERMIT. <br /> Name Date Time � <br /> Received By 0684 INFURNA, MICHAE 07/15/97 : <br /> Assigned To 0684 INFURNA, MICHAE <br /> � <br /> � <br /> Date Service Completedon Requires Further Action Y/N Y <br /> c � <br /> Amount paid 89. 00 , Program/Element 2901 � <br /> Due date <br /> | <br /> ' | <br /> ' ' | <br /> / <br /> This record was ' entered on 07/15/97 By STAFF <br /> This record was last updated on 07/17/97 By <br /> STAFF <br /> F=Find E=Enter U=Update D=Delete Page 2 9 :36 :32a <br /> ' ! <br /> ! <br /> | <br /> /| <br /> ' <br /> ' <br /> � <br /> ^ <br />
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