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San Rquin County Environmental Health ffivaltment <br /> DATE MASTER FILE RECORD INFORMATION `(MFR" GREENFORM <br /> _-_.- SITE MITIGATION&LOP <br /> SNAOEKAIjE(�b_F_QR_F.HO UaE ONLY a„,�la UNIT IV <br /> CAGE a <br /> OWNE_RFILE:COMPUWPROPER7YOWNERIRESPONSIBLE PAM##vaUAIION.• C%RZlfWOWNER CURRErnraNnLENI.NEND <br /> � <br /> PROPERNOwNERNANE Steward Sobek _ (419 617-.5791 <br /> Fmf Mt Lau PHONE NUMBER <br /> BusamSBNME Stuart Limited Partnership F-MAILADORESS <br /> Owner Nome Addrep ._— <br /> City STATE 21P <br /> OYmer Mailing Aadrer P.O. Box 3.70055 <br /> Mallblg Address City Las Vegas I Slate , 2Ip <br /> Nl 89137 <br /> ❑CORPORATION ❑IIcaus A. ®PARTNERSHIP ❑GOVERNMENT AGENCY ❑RESPONSIBLE PARTY ❑OTHER <br /> SITE MITIGATION -_ENVIRONME ETAL Assaa wwwr X—VOLUNTARY CLEANUP—WATER QUALITY HW PIPELINE INVESTIGATION _LOP <br /> FACILITY IDs IMIE ACCDIINI Of PRitROd mieNEDEWLOWEE LEAD Aa ENCY:EHDy�RWQCB_DTBC_E'PA <br /> JAoolzot, Ak-'orm 3pNNALj <br /> FACILITY FILE: COMPLETE BUSINESS SITE/PROJECT/NFORMAiw <br /> Is this a NEW Project LOCATION not prewlously regulated by the ENVIRONMENTAL HEALTH DEPARTMENT? yea El No ❑ <br /> Is this an EXISTING Project LOCATION but a NEW SCOPE OF WORK? Yes ❑ ND <br /> eDaWESSFACILmBEEIPROUECTNAME Quality Cleaners,Tracy Corners Shopping Center <br /> SEEADDREBBI PROJECTLOcaTIDM SUITEII BUSINESS PHONE <br /> 3081 North Tracy Boulevard <br /> Cm <br /> Tracy STATE zip <br /> �-L CA 95376 <br /> BOARD OF SUPERVISOR DISTRICT �+ LocaTIDN CODE 3L J KEYL i(E,� <br /> Mailing Address dDIFFERENTYrum F"WEvAddreaa Attention:orCare Of lopbonel) <br /> Mailing Address City STATE TJP <br /> SIC CODE APN0 CONMEM: <br /> 21y-t b <br /> TNIRD PARTY BELLING INFO: Complete if Billing Party is different from Property Owner or-Reaponsible Party identifiedabove. <br /> BUSINESS NAME Attention:Greene Of topeonwj <br /> Partner Engineering and Science, Inc. Tom Campbell <br /> Mailing Addrae■ 2154 Torrance Boulevard, Suite 200 <br /> PHONE S08-876-2660 <br /> OTY <br /> Torrance STATE CA L. 90501 <br /> AccO wADARM for foes and chargee OWNER FACILITYIBUSINESS THIRD PARTY BILLING <br /> BILune A,n(D,1 rl IA,(E At N,()"L 1.NIHF S1: 1.Inn nndosirnnl Lppliram.rrrl.f,Ihm I am HN IMsn+.eryNnrwc Jmaori:, saem..w Ae,rym,ihb Parfr AM 1 arhmr"IH,rMl an PLN w IFF.. <br /> PL♦t,la,F.YLR(f,VET)($eR.el yW/w Itut R/r(IHR,f i y,e wed"ah Ilii%in fjjco"ill Im hilkd m nK al lhr Rddrr.Nenlified ah. m IIN 4, 1/I'.\I 0HIR!\1 fM die NIG I Nk.rerhf,Ilial all <br /> ildormalion prmilkd an Ihw epplicalim is Nae nd rortyv. and IMI ani rraulaed un.ilw-rill br R,f, Rd in "ilhoil..,ppIw.bW qS NL,IR n( ,%j, Grd4MFRF Codes...Uor <br /> SlandaMs AM Slue amUm FFnFam lam Sod R,RIn16Nre A,ONVM ,,,.M IMmr,OlNraw,AnIMlrknl AEmt.u 11 1.ibk 1'an,Fr the prnpa Mcatd ehmr undtt faAEnkilr addrea>1 <br /> hereh,aulhoruedNrekanofSm amtall roults,mr ru.amtmhrr rmirmmadaima rRmrinfamulim mSASXIAQI.IS(01%1') LS\IRISNFNTAL HEAT.111 OFPAMMES1.s—.,.,a <br /> is asaiMhle old a Ihr.amr ume if i.F—Nl J ro mr or my roprr.rnuri,r. // <br /> APPLICANT NAME(PLEAsE PRKLTI TUM Campbell SKRIATUREL A V <br /> TITLE Project Manager TAxID/j I <br /> 111 { <br /> A-,--eY_ Data AaouMi(p Ofllce Proc—"Complelad BY Data <br /> _. <br /> tty BEE MTOA1gN <br /> FEES Et AMOUNT PAq q DATE OF PAYMENT f PAYMENT TYPE RECEPIp CNECKe RELHVED BY WORK <br /> PLAN PIE: 14 <br /> {. : d i I I /50 N <br />