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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/11/2020 8:17:58 PM
Creation date
3/11/2020 2:34:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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NOTIFICATION OF HAZARDOUS WASTE DISCHARGE F-7-000-5— <br /> Health 3 Safety Code 4 25180.7 <br /> A. SOURCE OF INFORMATION <br /> Company Name: <br /> Contact Person <br /> Address: <br /> r <br /> Telephone:- .411-e-- <br /> B. <br /> S//fB. LOCATION AND DATE OF DISCHARGE <br /> Date. _,rA�_�3 <br /> -.,Location:! <br /> t'nest.Pcal Descron <br /> t . <br /> P (City or County <br /> C. RESPONSIBLE PERSON/COMPANY: /J <br /> .-, Name, of-Company: . ,o <br /> c SG�L�Y, <br /> Contact Person: , <br /> ' Physical Address: -/� ;? <br /> r irr�� <br /> Telephone: <br /> D. DESCRIPTION <br /> Type Release: 144Z <br /> Volume: <br /> Chemicals: <br /> E. DISPOSI ION <br /> n . <br /> T <br />
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