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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505070
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/17/2020 5:16:15 PM
Creation date
1/17/2020 3:34:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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EHD - Public
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PUBLYC HEALTH SE ICES oP•,r?U�N.,.c <br /> SAN JOAQUIN COUNTY Q y� <br /> JOGI KHANNA M.D.,M.P.H. H: ` <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) . Stockton,California 95201 <br /> (209) 468-3400 <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE Z. 1990 <br /> CONTRACTOR C /Zg . I.VtC- 6(LI VE ' GJ►9ZiUu tr/4c-eo-,e,� 9469 <br /> ADDRESS WHERE VIOLATION OCCURRED �a <br /> AN JOAQUIN COUNTY PHS/EHDREPRESENTATIVES <br /> I hereby agree to have all violations <br /> pertaining to the above referenced address corrected on or before <br /> I further agree that said violations are detrimental to the public health. <br /> and/or safety and will prevent these violations from re-occurring in San <br /> Joaquin County': Furthermore, I agreeto fully comply with. all the <br /> requirements of San -Joaqui.n County Ordinance #1862 and notify San Joaquin <br /> County PHS/EHD forty-eight (48) hours in advance of performing any work. <br /> Failure to comply with this agreement will result in further legal remedies. <br /> SIGNED <br /> I <br /> / <br /> A Division of San Joaquin County Health Care Services <br />
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