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SITE INFORMATION AND CORRESPONDENCE CASE 2
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0505733
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SITE INFORMATION AND CORRESPONDENCE CASE 2
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Last modified
11/19/2024 10:19:51 AM
Creation date
9/3/2019 2:48:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 2
RECORD_ID
PR0505733
PE
2950
FACILITY_ID
FA0006970
FACILITY_NAME
TOSCO #787
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
02
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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+ ' aMa�ocauaaan <br /> r.. w ECEJ� P7,,OQUIN COUNTYPUBLIC HEALTH <br /> NCES <br /> MENTAL HEALTH Dry 81S <br /> 304 EAST WESER AVENUE,THIRD FLOOR J 2� <br /> APR 0 7 2003 STOCKTON CA SS202 /VC, J <br /> (209)41511-Soso <br /> ENVIRONMENT PUBLIC RECORDS RELEASE APPLICATION <br /> {(,APPUCANT-ZtkirkCf�P'L BUSINESSIAOBNCY UQ$ 4,r'P7M&-j <br /> ADDRESS 5roa tai-s�. Sw.k aw <br /> 93NEl0� 4'+� 36d1i FACSIMILE T/2r671f-3294 lin;-)Ir /�sroe��/! •-- <br /> —� A <br /> TENTATNE•APPONTMENTDATE ASSocnAs oyst6/r TIME SamT:m� A5 �flin �lrt{SR.rS 5 <br /> (➢teas elva T M 10 huelnaas d s tram Gate oiapputadon su6mAtali + -) <br /> lout c�,. J5-0 3 / <br /> CHECK BOX TO EXPEDITE-REQUEST-609.00 FEE-REQUEST PROCESSED IN 3 BUSINESS 0AY8a <br /> 1 t SIGNATURE W APPLICANT 1 4 UrA Dile Z OAT <br /> FILE ADDRESS S SIDE eHn STAFF USE ONLY <br /> _- PROGRAL SLEUENTS SEARCH <br /> t _ SZt.. tl 1L <br /> ENVIRONMENTAL HEALTH OMSION FILES <br /> Sb UNDERGRAUNU TANK(UST)CV=ANUP Srrs(LOP) 0 ROUSING AGATlMlNT in SOUD WASTE FACILrrY <br /> O OTHER CLE\1rI1P!M(NON-LOP) O FOOD FACILrTY 0 soup WASTE V6HICLf <br /> UNDEfiOROUNO NK(MONITDRNG1ROtOVA4) O 000 KENNEL C1 DAIRY <br /> TA <br /> .. 0 HAZARDOU3 wA:i rE 0EWRATOR 0 CHICKEN RANCH 0 PTREATICXJ PLANT <br /> l0 TiEm PERIUFTL-o FAOLrIY 0 MOTEUNOTE4 0 PUMPER TRUCKA'ARAlCHEN TOILETS <br /> 0 TATTDO1900Y PURLING ❑ POOVSPA ❑ LAND USE Ap PLICATION SITI!s <br /> G )JEDICALWASLF FACILITY O ❑ OTHER(PLF-ASE SPECIFY ABOVE) <br /> 1. List up to ten addresses in the"Ce above. Select the type(&)of files from thelist me-01'above by checto king <br /> the appropriate boxJes), At least on*file type MUST be selected. <br /> Fax to addrymi mdl jZL1L70Y0- <br /> 2 EHD vvi".I notify the Zpplicr t H any EHD files exist. An Appointment for review will be confirmed <br /> approximately five business days bort no later than ten(10)days after receipt Of appbe scheduledlication. The files <br /> will be hold for a nwximum of five business days for review. Aptw <br /> accordingly. , Y iatel available for review. A new <br /> 31 Afile that is activel c being worked on by EHD staff may not be immediately Y <br /> application may be submitted when the file is available. <br /> 4 Any file not ant, F tt in the Same Cs by the same appliirantibe may requlro a S 9ed Y 0 deposit t p or to review. <br /> at the expense <br /> of the applicant. Future file reviews by <br /> $- •TENTATIVE appolntment dates must be confirmed with EHD staff. <br /> U. Applications recAv.td after 5:00 pm will be processed the next bUsitress day. <br /> CONFIRMED APPOINTN1Etr.13ATE TIME <br /> l GATE CONFIRI,IED <br /> PHONE FAX INITIALS <br /> REVIEWED YES NO REVIEW DATE <br /> nm <br /> £d WU60:01 £00Z L0 'Edd = 'ON XtJd W0di <br />
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