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FIELD DOCUMENTS
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545339
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Last modified
2/11/2020 7:28:37 PM
Creation date
2/11/2020 4:59:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545339
PE
3528
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
02
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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6. <br /> I <br /> I <br /> REQUEST FOR PRIORIT)'REVIEW: <br /> I <br /> TO; SAN JOA QUIN COUNTY PUBLIC HEALTH SERVICES <br /> EMWRONIIVIENTAL HEALTH D SIGN <br /> 445 SAN JOAQUIN ST. <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> i <br /> FROM. ARD alcd� 1 <br /> (company nalne) <br /> RE. 800 Vet lc= Tam <br /> (facility address) 1 <br /> I <br /> I <br /> I(IYe) request that ourproject be assigned to available San Joaquin County Public Health <br /> Services, Environmental health Division (PHS-EHD) staff as a priority review. <br /> I <br /> I(We) understand that the review fee for this priority rtquest is conducted during office hours <br /> at all overtime rate of time and one-half of$53.0,0 (1.5 x $53.00). <br /> 1 <br /> Furthermore, I(We) understand that the PHS-EHD will bill the responsible party(ies) <br /> identified ort the "Site Mitigation Acklioll'letlgeinelntlPveqlItest for Services Form"for services <br /> rendered. <br /> i <br /> I <br /> Signature and Title Date <br /> may 23, 1991 <br /> I <br /> Page 17 <br />
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