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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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12 (STATE ROUTE 12)
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13889
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3500 - Local Oversight Program
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PR0545719
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 3:47:36 PM
Creation date
6/3/2020 11:22:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545719
PE
3528
FACILITY_ID
FA0005335
FACILITY_NAME
CHARLES JACOBS
STREET_NUMBER
13889
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
13889 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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MODIFY CONTAMINATED MFR SITE DATA UPDATE : PRIORITY <br /> Site Code : 1905 G 03/25/97 Name CAQT Code 1A5 <br /> UGT: Y I LOP . Y [HW: F Site Mitig: F PWS : F Priv Well : F lEnv Assess : F <br /> Solid Waste : F H2O Q: F EPI : F Land Use : F Othr Agency Rept : F Emerg Resp: F <br /> Entered LOP: 03/08/95 SJ/PHS Contact : ROWE I LEAD AGY: LOP <br /> NOR sent : 03/25/97 Loc Code : 99 Dist : 4 Prog/Element : 3527 <br /> Fund Source: F Fed Exempt : N WDR Y/N: N NPDES Y/N: N <br /> Site Specific Quarterly Report Information <br /> 1 1203212 3 4 5 <br /> Site Code: 1905 Petroleum: Y <br /> Site Name: CHARLES JACOBS Date Reported: 06/13/88 <br /> Address : 13889 W HWY 12 Date Confirmed: 06/13/88 <br /> City: LODI CA Zip: 95240 Multiple RP' s : N <br /> .................... ........ . Site Status <br /> Case Type : S Emergency Response : Contract Status : 2 Status <br /> Changes <br /> Un erwa Comppleted <br /> RP Preliminary Assessment : U 04rch: S /22/88 02/i0/97 2 02/110%97 <br /> Remedial Investigation: 3 <br /> Remedial Action: 4 <br /> Post-Remedial Action Monitoring: 5 <br /> 7 <br /> Enforcement Action Taken: Y Type : 1 Date: 03/25/97 8 <br /> LUFT Consideration: 9 <br /> Excavation Started: Case Closed: Date : <br /> Remedial Action Taken: <br /> ........................:::::::::::::::::::::::::::::::: SITE AND FILE STATUS <br /> Water Depth: 10 Gradient : Wells Nearby Type <br /> Last Sample Date : 00/00/00 500 ' ---> N IR ---> N <br /> 1000 ' ---> N DOM ---> N <br /> Flag Date : 00/00/00 2000 ' ---> N PUB ---> N <br /> Contaminated MFR ............................................................ <br /> ►FPT: N ►Soil : Y ►GW: N <br /> Failed PT: 00/00/00 Soil Con: 04/27/88 GW Con: 00/00/00 DW Con: N <br /> Prior Failed PT: N No Action: N MW Destroyed? : False <br /> Consultant : I Phone : <br /> UAR # : => 06/30/88 Prop65 # : 88-0116 => 06/30/88 <br /> Street # : 13889 Street Name : HWY 12 APN # , 025-030-05-7 <br /> ResponsibleParty .......................................................... <br /> Company Name : TERMINOUS MARKET Phone : 209 368-3675 <br /> Contact Name : CHARLES JACOBS Phone : <br /> Address : PO BOX 8820 <br /> City: STOCKTON State : CA ZIP : 95208 <br />
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