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ARCHIVED REPORTS_XR0012711
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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3555
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3500 - Local Oversight Program
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PR0545252
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ARCHIVED REPORTS_XR0012711
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Last modified
1/31/2020 12:21:26 PM
Creation date
1/31/2020 11:25:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012711
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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�_��'� sov}t:�--x+i�a � —�£�.r� �ifar �,y�� i��' ��� ,moi - ti .sTt•�- .. =.�' 'ai a� _ Ec" yT3S�_�"ncct <br /> 5 . � ��y'+L.A f, �'� t �¢v L �� .. L n �'r�'• ! �: � _�� T�..�.-_a.,— r. .Y .ac+a5^•• . <br /> �E p 1 .s�3 � •.- VS�iA �� <br /> s <br /> r ' <br /> Quik Stop Markets August 1.4, 1990 <br /> Project No. 349132-41 Page 8 <br /> ATTACHMENT A <br /> SIGN�QFF PACE, <br /> I have read the Project Safety Plan and fully understand the hazards associated with the <br /> tank removal project at,. the Quik Stop facility located at 3555 W Dammer lane, <br /> Stockton, California. <br /> I Will comply with the minimum safety requirements set forth in the Project Safety <br /> Pian. I agree to notify the responsible employee of Exceltech, Inc. should any unsafe <br /> acts be witnessed by me while I am on this site. <br /> Print Name Signature Date <br /> 1.v <br /> iF,. SRM <br /> _...._. ._.__..Safety Plan approved by: <br /> g St Office SafetyCoordinator — e <br /> Project Manager <br /> r <br />
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