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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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2900 - Site Mitigation Program
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PR0505512
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FIELD DOCUMENTS_CASE 1
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Last modified
5/28/2020 12:43:08 PM
Creation date
5/28/2020 12:30:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0505512
PE
2950
FACILITY_ID
FA0006827
FACILITY_NAME
BP/MOBIL SERVICE STATION
STREET_NUMBER
2375
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23207003
CURRENT_STATUS
02
SITE_LOCATION
2375 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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fi f <br /> 21. <br /> BOARD OF TRUSTEES -JOAQUIN LOCAL HEALTH64RICT <br /> Jimee Culbertson, Pres. SERVING <br /> 'Palrlcia E. Vannuccl. Secy, I' City of Lodi <br /> Anthonette Van Spronsen 1601 East Hazelton AvenueSan Joaquin P. O. Box 2009 County <br /> Earl Pimentel Stockton, California 95201 City of Escalon <br /> Fern Sugbee City of Manteca <br /> Daniel L. Flores 209/466-6781 City of Ripon <br /> City of Stockton <br /> John D. Mast, M.R. CitCity of Tracy ' <br /> William J. Wade Jogi Khanna, M.D., M.P.H., District Health 0(ricer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS, GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I, the undersigned owner and/or operator of the property and/or facility <br /> located at 2375 TRAC)C BLVD. , TRACY, CA 95376 <br /> hereby authorize KAPREALIAN ENGINEERING, 535 MAIN ST. , #309 , MARTINEZ, CA 94553 <br /> to release any and all analytical results, geotechnical data and site 415/228"1882 <br /> (MARDO KAPREALIAN) <br /> assessment information to the San Joaquin Local Health District as soon- <br /> as it is available and at the same time it is provided tome or my <br /> representative. _ <br /> MR. WILLIAM JOHNSON <br /> Owner/Operator: MOBIL OIL CORP..- Title: ENGINEER <br /> Address P .O. BOX 127 Phone: 415/237-9227 <br /> RICHMOND, CA 94807 <br /> Date: 5/30/86 <br /> f. <br /> x <br /> EH 08 05 <br />
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