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FIELD DOCUMENTS
Environmental Health - Public
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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
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SJGOV\sballwahn
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EHD - Public
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A14U AP <br /> A=�PROVE <br /> RETURN TO: <br /> _D, PLEASE <br /> DEVELOPMENT TY COM NITY <br /> X <br /> ATTN:OWEN(46"I 0) SS LECENSE <br /> 1810 EAST tWELTON AVEN I <br /> STOCKIST CA 95M UE 2MENT DEPARTMENT <br /> f <br /> -,ul 241994 B.L NO. <br /> I i lad- <br /> RECEIPT NO. -ISA <br /> r <br /> JAN 21 1994! FEE: <br /> ENV <br /> g <br /> 1 <br /> Business Name: 1167. <br /> L e e 1� <br /> 0 .5�,,,Vj 13AIN different): <br /> Business Address: -7,39ff7 A-" -2 3 1 <br /> Other Businesses at Address: <br /> Phone: R E Assessor Parcel Number(s): <br /> Mailing Address: <br /> Type of Business: wr- <br /> 10 �11 oll <br /> Type of Organization: a-Srn�gl.Owner [3 Partnership 0 Corporation (3 Other: <br /> Estimated Number of Full Time Employees: 91 Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s) Name: <br /> Owner(s)Address: Z,/ <br /> Manager's Name: 4-) ;T <br /> Previous Business at Address: S, 116fit• eA-.*at <br /> Other Local Business Locations(Address)- j/ C> N <br /> Sewage Disposal: 0 Public t)-�y*Aem <br /> Water Supply: OPublio er-on-efte Well <br /> Will there be any retail sales of pistols,revolvers or other concealable firearms? 0 Yes 0--mo, <br /> NOTE: ANY CHANGE OF OCCUPANCY WILL REQUIRE BUILDING INPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> [ 13 - 2 Applicant's Signature: Date: <br /> g <br /> General Plan Designation: Zoning: A&- yCode Section Number: <br /> DEPARTMENT APPROVED DENIED C—Y DATE <br /> Development Services <br /> Building Inspection ---- <br /> Environmental Health Div X— zo <br /> Air Pollution Control Dist <br /> Sheriff(firearm sales only) <br /> ITM�ENT �AWPI <br /> Fire District <br />
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