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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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34243
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3500 - Local Oversight Program
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PR0544502
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/29/2019 5:06:53 PM
Creation date
5/29/2019 4:53:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544502
PE
3528
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-9334
APN
25318004
CURRENT_STATUS
02
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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11/'L1/20pzf FRI 14! 14 FAX 209472 7956 X002/Qpg <br /> a� <br /> IL i( IJ "I kJ L7 �r SAN JOAQUIN COUNTY END LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV 2 1 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ hd a <br /> ENV! zlV,, ;4EN ;i'E LI <br /> 3 <br /> P t:RIS� ;11;___1i- PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: .Karna E. Harrigfeld, Esq. 13USINESSIAGENCY: Herum Crabtree <br /> ADDRESS: 2291 W. March Ln. , Ste. B-100 City/statolzip Stockton, CA 95207 <br /> PHONE(1)- (209)472-7700 PHONE(2): _ FAGSIMILrE• (209) 472-7986 <br /> TENTATIVE*APPOINTMENT PATE: Time: <br /> (PI9aso allow 10 businoss days from date of application submittal-*Tentative only-must be confirmed) <br /> M CHECK BOX TO EXPEDITE REQUEST-31 (CASH 9R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ /1!� DATE 11/21/08 <br /> T <br /> Electronic Information: ❑List❑Map-Description! <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City J ❑ Unit 1 <br /> 1- 34243 S. C_hrisman Road Trac <br /> 2. (Country Mart Diesel & Gas) O Unit <br /> 3. <br /> .4' <br /> S. �' J <br /> B - - 'Unit4 <br /> 7. <br /> _. ❑. Unit6 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Infonnation Requested:From 7/17/03 to 11/21/08 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 13 UNDERGROUND TANK(UST)CLEANUP SITE(L-OP) I7 HOUSING ABATEMENT ❑SOLID WASTE FACIUTYNEHICLE <br /> C3 OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY D WASTE TIRE <br /> 7M7jNDERGRouNo TANK(MONITORINGIREMOvAL) ❑DOG KENNEL ❑DAIRY <br /> IMMAYARDOUS WASTE GENERATOR O CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> CJ TIERED PERMITTED FACILITY ❑MoTEL/HoTEL ❑PUMPER TRUCK/YARDIGHEM TOILETS <br /> ❑TATrooIBbDY PIERCING Q POOLISPA M LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILr Y 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY S:OO AM-5:00PM -EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)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-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that Is actively being worked on by ENP 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 /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> END USE ONLY <br /> EHD 4MG 6/04/09 PUBLIC RECORDS RELEASE APP FORM <br />
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