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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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KETTLEMAN
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3500 - Local Oversight Program
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PR0545337
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 7:30:12 PM
Creation date
2/11/2020 11:27:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545337
PE
3528
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY. : PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV; A5,' <br /> , <br /> SITE MITIGATIONIASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS / LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE I <br /> OTHER CONTACT NAME or INFO PHONE i <br /> SITE CODE # IL PROG/ELEMENT BTtLING COD TASSIGNED TO <br /> TITLE OF SUBMITTAL: i <br /> DATE RECEIVED DATE ON SUBMITTAL qT (REQUEST ^ OT REQUEST DATE - I <br /> TYPE OF S SMITTAL CODE TYPE OF SUBMITTAL CODE <br /> I <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKVLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 f <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP b PUBLIC PART 1111`0 19 REVIEW FEE PD CK #/CASH DATE. <br /> FINAL REMED PLN (FRA) 8 S <br /> 4RTLY RPT/POST RE14ED MONITORING 9 S <br /> STAFF REVIEW DUE: /�/ OT SCHEDULED: _„J_/—I �w Of COMPLETED: .,.._/_/�. <br /> ACTION DATE AGI1 ON � DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCNPLETf/ADOTNL INFO^RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISIO -PR_DUE <br /> Rw0C6 COMMENTS REPOR RE C PLETE In PAR DUE <br /> OTHER AGENCY APPROVAL LF/N , FRP D E✓ <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED 11 / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CCt64ENT LTR SEAT PROJECT CJ4PLETE/FINAL TALL <br /> EN 29 03 (PLNLOG revised 5/91) <br />
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