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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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18970
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2900 - Site Mitigation Program
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PR0516743
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
3/4/2020 12:28:56 PM
Creation date
3/4/2020 11:36:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0516743
PE
2950
FACILITY_ID
FA0012768
FACILITY_NAME
WOODBRIDGE ARCO-STORE #5650
STREET_NUMBER
18970
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
WOODBRIDGE
Zip
95258
CURRENT_STATUS
01
SITE_LOCATION
18970 LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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El <br /> END LOG NUMBER <br /> °❑❑ '? ?'� SAN JOAQUIN COUNTY. <br /> ❑ ENVIRONMENTAL HEALTH DEPARTMENT <br /> ° OCT 2 8. 2814 <br /> 1$6$East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 0�(JJ <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/0hd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Abbv R.acco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W, Oak St, CITY/STATE/ZIP: Lam(&A,c,5240 <br /> PHONE(1): (209)369-0375 PHONE(2): (209) 365 3222 EACSIWIILE: 3L01 -03 <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 F2EQUEST 25 FEE(C OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 10-2D-14 <br /> Electronic Information: . ❑List❑119ap—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street�! Street Name city Unft 1 <br /> 1. 2000 E.Woodbridge Rd. Acampo <br /> 2. 19410 N.Lower Sacramento Rd. Wondtxid e ❑Unit 2 <br /> 3. 19440 N.Lower Sacramento Rd. Woodbridge <br /> �3 1Pvi0k$-t .tna, �-4 . NJoadbvt ( 1( �` <br /> unit a <br /> 5 ($q�a ac va-rnbv� Wavc4d ° <br /> s• 3/ l - unit 4 <br /> �• r <br /> 8• Unet 5 <br /> 10. <br /> ❑Unit e <br /> Spocdfic Date Range of Information Requested: From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑$OLID WASTE FACUNIVEli1CLE <br /> OTHER CLEAxup SITE(NDN-LOP) ❑Houstue ABATEMENT ❑WAsTE Tela: <br /> UNDERGROUND TANK(MOMTORINGIREMOYAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH[DOG KENNEL ❑WASTEwATER TREATLiENT PLANT <br /> HAZARDOUSWASTEIHAZARDWSMATERIALS ❑MOTELIHOTEL PumpERTiwcKIYARDfCHE=ALToILm <br /> TIERED PEED FACILITY' ❑POOtISPA. LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING (2 COMPLAINTIRES.PONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ala-b:OOPU(EXCLUDING HOLIDAYS) <br /> 1. [.1st up to ten addresses in the space above. Select the types)of files from the list above by cheoking the appropriate <br /> box(es). At least one file type MUST be selectod- Fax to(209)464-0138 or mail to the address indiaatpd above, Address <br /> ranges will not be accepted.Applications recelved after 3:00 pm will be proaeSSad the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant If any EH13 flies exist An appointment for review will be confirmed approximately ten(10) <br /> daye after receipt of application. The files will ba hold for a maximum of five business days for review• Appointment,$ <br /> should be scheduled accordingly. <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 tate same applicant may require a$125 deposit prior to review. "'S XED AREA-EHO L1SE QNLY"' <br /> D Records provided by Staff-PPR Complete.Staff Name: <br /> EHo 48.oa 4l2erta <br /> Received Time Oct, 28, 2014 1 :47PM No. 7423 <br />
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