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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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3500 - Local Oversight Program
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PR0544217
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/4/2019 11:52:48 PM
Creation date
3/4/2019 4:23:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544217
PE
3526
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
02
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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08/26/2014 08: 22 71493894; KIMLEY HORN PAGE 01/02 <br /> Fi <br /> - EHD LOG NUMBER <br /> ■ ' � ;' SAN JOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 2 6 X014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vAvw.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Stecn BUSINESSIAGENCY: I(�- Torn aad.A,ssociates,Inc. <br /> ADDRESS: 765 The City Drive,Suite 200 CITY/STATE/ZIP: Orange, CA 92868 <br /> PHONE(1): 714-705-1340 PHONE(2): FACSIMILE_: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PATE $/25/14 <br /> Electronic Information: ❑ List❑ Map--Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Strout# Street Namo _ City Unit 1 <br /> I <br /> 1. 620 Charter. Way, I` �;, Stockton. "1.L✓) <br /> 2. 515 Charter Way I, a"52;JW Stockton lonit2 <br /> 3• 508 Chatter Way.'11 " 7' zea IZI— <br /> I Stockton �,>`t1z N`►�' <br /> 4• 440 Charter Way .2c16'() Stockton r✓` <br /> r <br /> ,Q unit <br /> 5. 441 Charter Way iqzl i 'e f,J"6r' Stockton ��. I <br /> 6. 641 Charter Way: ? N�� � �� `/ `' Stockton,, 'l/Z /�(Ay unlc a <br /> _7. 701 Charter Way 61?')a�'�, <br /> 8. 749 Charter Way 35 �Z C- Stockton El Unit s <br /> 9. 18052 Charter Way I-1 FF ^__Stockton <br /> 10. 1825 Charter Way -°J—If4' ' �''t`I Stockton yi,�,! <br /> Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ]SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ®DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH]DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKNARDICHEMICAL TOILETS <br /> [�TIERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEw: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. LN up to ten addresses in the space above. S®Iect 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)464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD atthe number noted above. <br /> 3. The EHD will notify the applicant if any EHD 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 /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff atthe expense of the applicant. <br /> Future file reviews by the same applicant may require a $125 deposit prior to review. —BOXED AREA-EHD USE ONLY— <br /> El Records provided by Staff-PPR Complete. Staff Name: <br /> BHn 48 or 4,2e <br /> Received Time Au,. 26. 2014 8:03AM No. 6904 <br />
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