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COMPLIANCE INFO 1986-2004
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231300
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COMPLIANCE INFO 1986-2004
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Last modified
5/31/2019 11:51:24 AM
Creation date
11/8/2018 10:00:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2004
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WILSON\1756\PR0231300\COMPLIANCE INFO 1986-2004.PDF
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EHD - Public
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12/28/2003 18:38 92528 1 AEI CONSULTANTS ) PAGE 01 <br /> v <br /> _ � EHD LOG NUMBER <br /> DATE REGF,IVED SAN 30AQUIN COUNTY <br /> ENVIRONMENTAL REALTi f DEPARTMENT <br /> 304 E Weber Ave 3ydFloor Stockton,CA 95205 <br /> 468-3420 Fax: (209)464-0138 Web:Wivw.cO.M-joaquirLca-us/ehd <br /> PUBLIC RECORDS )RELEASE AYBLICATION <br /> Y • BUSINESSIAGENCY: <br /> APPLICANT: jjam+ t, I"9 <br /> ADDRESS: In'D � <br /> PHONE: 6-J FACSIMILE: <br /> ' <br /> TENTATIVE*APPOINTMENT DATE:—(LAR (221-t Time: <br /> (Please allow 10 business days from dale Of application suhmittal) <br /> CHECK BOX TO EXPEDITE REQUEST-S93.00 VIE-REQUEST PROCESSED IN 3 BUSINESS DAYS I 301-7 <br /> � DATE <br /> SIGNATURE OF APPLICANT /` Department Use Only <br /> UNIT <br /> FILE ADDRESS <br /> 1 ❑ Unit 1 <br /> 1. suit rl .N)1 Son a Ire d u <br /> I1 G 2 <br /> it Unit 2 <br /> G <br /> � 3. s,� v .w, _ w� <br /> D , <br /> 4Va u Unit 3 JC,l <br /> \f 5. 5uaet <br /> -3-6 A—-,VG <br /> e. Slrcci 1 1 _ <br /> d Unit 4 <br /> a. sreH Lll 1 t)}QS _ <br /> e. sv�a I 2 ° n G` ❑ Unit 5 <br /> iI G <br /> 1a. Strut <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> SOLID WASTE FACILITY <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Cl HOUSING FOOD FACLITY ABATEMENT O SOLID WASTE VEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) O DOG KENNEL ❑ DAIRY <br /> ;E UNDERGROUND TANK(MON"ORING(REMOVAL) 1:3 CHICKEN RANCH 5k PKO TREATMENT PLANT <br /> l k HAZARDOUS WASTE GENERATOR p M KEEN AN ❑ PUMPERTRUCK(YARDICHEM TOILETS <br /> 8) TIERED PERMITTED FACILITY ❑ PppLLfPA X LAND USE APPLICATION SITES <br /> d TATfOOl80DY PIERCING d OTHER(PLEASE SPECIFY) <br /> ❑ MEDICAL WASTE FACILITY <br /> I, List up to ten addresses in the space above. elect the he ty acted f Fax to{209files from h464-0 38 orist above bmai to thec <br /> the appropriate box(es). At least one file type <br /> address indicated above. <br /> 2. EHD will notify the applicant if any EHD files exist An appointmen <br /> da afte�receipt of alpplication he files <br /> approximately five business days but no later than ten(10) should be scheduled <br /> will be held for a maximum of five business days for review. Appointments <br /> accordingly. <br /> 3. Afile that is actively being worked on by EHD staff may not be immediately available for review. A ne <br /> application may be submitted when the file is available. reorganized by EHD staff at the expens <br /> 4. Any file not returned in the same condition as released will be reor uire a 593.00 deposit prior to revie <br /> of the applicant. Future file reviews by the same applicant may req <br /> 6. *TENTATIVE appointment dates must be confirmed with EHD staff. <br /> g. Applications received after 3:oo pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE <br /> TIME <br /> DATE CONFIRMED <br /> '"PHONE .FAX, INISIAtS' <br /> REVIEWED `YES <br /> NO REVIEW DATE <br /> ENO x842-096 <br /> aueoao - . <br />
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