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FIELD DOCUMENTS_CASE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MARIPOSA
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3500 - Local Oversight Program
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PR0545534
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FIELD DOCUMENTS_CASE 1
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Last modified
3/13/2020 2:05:47 AM
Creation date
3/12/2020 11:53:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0545534
PE
3528
FACILITY_ID
FA0001457
FACILITY_NAME
COLLEGEVILLE MARKET & CAFE
STREET_NUMBER
13521
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18306007
CURRENT_STATUS
02
SITE_LOCATION
13521 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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NORTH CAL <br /> CONSTRUCTIOM Protecting the Environment <br /> A O. Box 588 Stockton,CA 95201 209/465-5886 Genera/Engineering Class A License No.505704 <br /> October 27, 1988 <br /> San Joaquin Local Health District <br /> 1601 East Hazelton Avenue <br /> P.O. Box 2009 <br /> Stockton, California 95201 <br /> RE: Closures of underground storage tanks-storing liazardous. , . <br /> materials. Located at 13521 Mariposa Rd., Stockton, CA. <br /> Application For Permit For Underground Tank Closure. <br /> FACILITY SECTION: <br /> 1.) OWNER- Abe Ayesh <br /> 13521 E. Mariposa Road <br /> Stockton, CA. <br /> 2.) OPERATOR- 13521 E. Mariposa Road <br /> Stockton, CA. <br /> CONTRACTOR SECTION: t <br /> f; <br /> 1.)' NORTH CAL CONSTRUCTION <br /> P.O. Box 588 <br /> Stockton, California 95201 <br /> 2.) Contractor License No. 505704 Class A. <br /> Workers Completion Insurance on File. Liability <br /> insurance on file. <br /> 3.) Fire District- 9P OF Stock F&c4.a-Vah Fee rjeeAr } <br /> 4.) Laboratory for sampling: <br /> FGL/Nelson Laboratory r <br /> 3948 Budweiser Ct. <br /> Stockton, California 95205 (209) 391-1.266 ?: <br /> Soil samples will be taken by authorized personnel <br /> employed by the recognized laboratory under the <br /> direction and supervision of SJHD. The sampling. will <br /> be taken when the tank is removed from the hole. Soil <br /> analysis will consist of the following as referred to in <br /> "Sampling Protocol for Tank Removals" being drafted by <br /> P. <br /> San Joaquin Local Health District. j <br /> R.O. Box 7237 Capistrano Beach, CA 92624-7237 7141493-3994 <br /> P.O. Box 214608 Sacramento, CA 95821 916/Q41_P17Fa <br />
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