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REMOVAL_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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1233
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2300 - Underground Storage Tank Program
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PR0547072
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REMOVAL_2021
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Entry Properties
Last modified
10/17/2024 4:35:50 PM
Creation date
11/3/2021 9:16:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2021
RECORD_ID
PR0547072
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0026688
FACILITY_NAME
7-ELEVEN INC. #41342
STREET_NUMBER
1233
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95205
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
1233 E DR MARTIN LUTHER KING JR BLVD STOCKTON 95205
Tags
EHD - Public
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J I I Environmental Health Department <br /> COUNTY _ <br /> AUTHORIZATION TO RELEASE <br /> ANALYTICAL RESULTS <br /> * GEOTECHNICAL DATA <br /> * ENVIRONMENTAL/SITE ASSESSMENT INFORMATION <br /> I , THE UNDERSIGNED OWNER AND/OR OPERATOR OF THE PROPERTY AND/OR FACILITY LOCATED AT <br /> (Street Address) (City) <br /> HEREBY AUTHORIZE <br /> (Laboratory) <br /> TO RELEASE ANY AND ALL ANALYTICAL INFORMATION TO SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT AS SOON AS IT IS AVAILABLE AND AT THE <br /> SAME TIME IT IS PROVIDED TO ME OR MY REPRESENTATIVE . <br /> BUSINESS NAME : 7 - Eleven #41342 <br /> (If Applicable) <br /> OWNER/OPERATOR : Mark A . Tekin Manager , TA Charter Way , LLC <br /> (Please Print) (Title) <br /> (Owner/Operator Signature) (Date) <br /> ADDRESS : 2600 Dallas Parkway , Suite 370 <br /> (Mailing Address) <br /> Frisco TX 75034 <br /> (City) (State) (Zip Code) <br /> PHONE : ( 469 458 - 0485 <br /> 8of10 <br />
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