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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0521716
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
3/20/2019 3:23:08 PM
Creation date
10/31/2018 11:41:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0521716
PE
2220
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CAMBRIDGE\16470\PR0521716\COMPLIANCE INFO\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/15/2013 8:00:00 AM
QuestysRecordID
2028394
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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RL 479L <br /> SAN JOAQUIN COLIN END LOG NUMBER <br /> UtL J 0 2009 ENVIRONMENTAL, HEALTH DEPA 5* <br /> 02 <br /> PAT <br /> Telephone: (20 600 . Stocklon, CA 9 20 <br /> 9) 468-3420 Fast Main x: 209) 464-0 38 Web: v.org/e d 3 <br /> PERMIPSERVICES <br /> PUBLIC RECORDS RELEASE APPLIC�4TION <br /> APPLICANT: MATT SMALLEY <br /> 724 VALLEJO BUSINESS(AGENCY: DELTA <br /> WAY <br /> ADDRESS: <br /> CITY/STATEZIP: SACRAMENTO <br /> PHONE(1): 916 446 3803 PHONE(2): <br /> TENTAT/VE`APPOINTMENTDATE: FACSIMILE: 916 638 8365 <br /> (Please allow 10 business days from date of a Time: <br /> pplicalion submittal.•Tentadve only <br /> El .must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-sit 5F,EE( H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �'� <br /> DATE 12 <br /> Electronic Information: Q List[] Map—Description: <br /> FILE ADDRESS <br /> Street KEND USE ONLY <br /> Street Name City <br /> — ' -_ Unit 1 <br /> 0 HWY 99 NTH STOCKity n.�. <br /> �GyS/'--- (� <br /> 011 (a 2. 1617 FREMONT W STOCKTON \ <br /> 1 (p 3. 3212 CALIFORNIA ST STOCKTON UrU <br /> 5 4. 16470 CAMBRIDGE DRIVE a �` <br /> LATH'— � <br /> OP U� u? <br /> 5. 3998 HWY 99 STH _ STOCKTON <br /> 6. tlrT�#3yla, 15 <br /> liov; 6Rre� <br /> 7. nit e <br /> S. <br /> 9. Unit 6 <br /> Specific Date Range of IMormation Requested; From ALL <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to PRESENT {//y,, <br /> ®UNDEROROUND TANK(UST)CLEANUP SITE(LOP) []HOUSING ABATEMENTI - <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑SOLID WASTE FAGUTYIVEHICtE <br /> ❑Fa <br /> ooD FACILITY ❑WASTE TIRE 1 ,N <br /> ®UNDERRROUND TANK(MONITORINGfREMOVAL) OC ❑DOD KENNEL ❑DAIRY W I( I ' <br /> ®HAZARDOUS WASTE GENERATORA ©CHN:NEN RANCH /- <br /> ®TIERED PERMITTED FACILITY p( ❑CHICKS RAAOTEL lOWASTEWATERTREATMENTPLANT I—(0 <br /> ❑TATTOOIBODY PIERCING ❑PUMPER TRUCKIYgRDICHEMICAL TOILETS <br /> PA <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER OTHER(PLEASE SPECIFY) ❑LAND USE APPLICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> t. List uD W fan addresses In the Space above. Select the type(a)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fa !e 2081484.01�8 or mail to the address Indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EH D. Applications received after <br /> 3:00 pm Will be processed the next business day. <br /> 2. The END will notify the applicant ifany END files exist An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <br /> 3. A Tile that is actively being worked on by END staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future fife reviaws by the same applicant may require a$115 deposit prior to review. <br /> 6, it you need further assistance, please contact Diane Martinez,at(209)4663425. <br /> END USE ONLY <br /> r 0 U ' 6 m <br /> _ <br /> END 4"Os dAt /I rye( W,5 WOO)) <br /> Q011 3ro�e'•371Z � in;4) •� <br /> S9 <br /> a <br /> 000010875COtV139' e' <br /> 14PgVC"Ob1idpea <br />
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