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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0503633
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/4/2021 1:19:03 PM
Creation date
5/4/2021 1:08:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0503633
PE
2950
FACILITY_ID
FA0005913
FACILITY_NAME
WATERLOO SHELL
STREET_NUMBER
4315
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 WATERLOO RD
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SAN JOAQUIN COUNTY <br />NOTIFI ZION OF HAZARDOUS WAST.. JISCFIARE <br />HEALTH & SAFETY CODE 15180.7 <br />EMERGENCY LEVEL: II III <br />ircle One) <br />SOURCE OF INFORMATION <br />Original Source: \1144te- Fhtii/(.4- <br />PHS-EH LOG # <br />Telephone: ( 26, ) /6t'3 '?O <br />4selie, ,c4-war <br />Telephone: ( y6e-3e/3, <br />-57-et/all C// 5-52(3 / • <br />Reporting Agency Name. <br />Agency Contact: _Ley/ 7-b9 <br />Address: 2069 / <br />LOCATION AND DATE OF DISCHARGE <br />Location: (./3/C / <br />(Best Physical Description) <br />Date of Discharge: <br />(City or County) <br /> <br />Date Notified: a -2 -5?) Time: a <br /> <br />RESPONSIBLE PERSON/BUSINESS <br />Name of Business I214-re-gb0 <br />Contact Person: &// /_)e)y-,6 Telephone: ( 267 ) <br />Physical Address. X0 1/ Xl/t <br /> <br />7 2_ <br /> <br />5-2?4 <br /> <br />DESCRIPTION <br />Type Release: <br /> 04,e_ <br />Volume: t14,t44.e141".---- <br />Chemicals. 4 <br />F. ACTION TAKEN <br />co-th.eza "206 pc/F0 <br />40fA <br />4 xto A44/ ii/dr/muoTer <br />i21p ro91/2/i2eovAeL— a4- <br />EH 22 013 (Rev. 02/90) <br />(r•-•)
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