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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARIPOSA
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4242
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4700 - Waste Tire Program
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PR0523812
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COMPLIANCE INFO
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Entry Properties
Last modified
1/23/2019 7:30:46 PM
Creation date
1/23/2019 2:34:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523812
PE
4740
FACILITY_ID
FA0016037
FACILITY_NAME
FINE-LINE GUNITE
STREET_NUMBER
4242
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
17908252
CURRENT_STATUS
02
SITE_LOCATION
4242 E MARIPOSA RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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CField
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EHD - Public
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04/04/2012 1 � D <br /> 466 99 AEI CONSULTANT PAGE 01/01 <br /> F1 <br /> E.CEVE <br /> DATE RECEIVED EHD LOG NUMBER <br /> Ar„ 0 4 NII SAN JOAQUIN CO <br /> ENVIRONMENTAL HEALTHrEILEM ,O P Y <br /> Attn: Ch i.t0j ENSALHEPff 600 East Main St, Stockton, CA 95202-3028 <br /> (p 209,468.?"ITII Ae: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov,org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Brie Oolaegui i3USINESS/AIGENCY:AVIT Consultants <br /> ADpR>w$g; 2500 Camino ,Diablo CiMSTATE/ZIP: Walnut Creek, ._CA 94597 <br /> PHONE (1): 925-746-600$ <br /> PHONE(2): FACSIMILE, 925-746-6099 <br /> 1V7-A77VE"APPOINTMENT DATE: Time: <br /> (Please alrow 10 business days from data of applia&tion submittal-'Tenlative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RFQUEST-$122 FEE(CASH OR CHECK ONLY)-RFQUE5T PROCESSED IN 3 BUSINESS BAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: O List 0 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 4„ Str # Street Name City <br /> ...tr�or vVl r <br /> 1 � - <br /> East Mariposa Qa,�, Stockton Unit <br /> 2. U y_ ..-......_ <br /> ------...... ._ � x1,2.-1--��e <br /> 3. LLJ t1 <br /> 4, <br /> Unit 3 <br /> - I <br /> niY Q <br /> 9, ---- ---- ....._ 0 Unit 5 <br /> Unit 6 <br /> $pecltic Date Range of Information Requested: From Ail records OI1 a to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES -- <br /> UNDERGROUND TANK(UST)CLEANUP SiTE(I-QP) ❑HOUSING ABATEMENT NSOLID WASTE FACILITYIVEHICLV'b '�&U <br /> ttt���fff <br /> OTHER CLEANUP SiTE(NON•LOP) El FOOD FACILITY WASTE TIRE <br /> AUNDF.RGROUND TANK(MONITORiNGIREMovAI,) ❑DOG KENNEL ❑DAiRY <br /> {AZARDOUS WASTE GENERATOR ❑CHICKEN RANCH Il WASTEWATER TREATMENT PLANT <br /> NATroO113ODY <br /> IERED PERMITTED FACILITY (I MOTELIHOTFi,. ❑PUMPER TRUCKIYAROICHEMICAL TOILETS <br /> PIERCING 0 POOL/SPA ❑LAND USE APPLICATION SITES <br /> © MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WF=I,L AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List u sses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464013@ Qr mail to ha add[esg indicatedmail to ha abgyg Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the neat business day. <br /> Z The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after recelpt 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 file that is actively being worked on by EHD 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 EHD staff at the expense of the applicant. <br /> I Future file reviews by the same applicant may require a$122 deposit prior to review, <br /> (,�/ EWbUSE�NLv <br /> A 1 <br /> V <br /> EHD 4806 <br />
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