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ARCHIVED REPORTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4511
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS
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Entry Properties
Last modified
5/5/2020 3:06:11 PM
Creation date
5/5/2020 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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ao'd _"101 <br /> �C:'-1��1 W 3H tip-purr, r r-�•r 1 u �jj 'rI h�',c.�u _ <br /> ,Ell OV I4 (REV 5194) SAN JOAQUIN [;I')UNTY t* �S^ Ll�o <br /> PUBLIC IIIKAL131 SERA ICrIS y <br /> EN VIROI NIri.NTAL IIEALTII DIVISION <br /> PUBLIC ItFCU S REL3r"ASI, APPLICA'T'ION <br /> APPLICANT Hlchael L.F. Buck, Esq. PHONE NO 209 95 — <br /> ADEIRixSS 7488 Shoreline Drive„-, 1_g u—tYI4ONO <br /> AGENCY NAME _ 3UN& NNOS <br /> ADDAMS .. 1 <br /> >� Aa s QAC NCY. DA <br /> d ic .35 oz� <br /> ... <br /> THIS NOTICE IS SUtui5C't' To 'M v. REQUIREMENTS IVENI-IFIED IN THS PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL NEAL'11{DIVISION(EMD)POLICY#94-007, ORDNANCE CODE OP SAN <br /> JOAQUIN COUNTY, EHD FEES AND SURVICE CHARGE I oLUTibNS, STATE WATIiR COM <br /> GOVERNMM- T COD13 AND THE EVIDENCE CODS. <br /> I. It 114&VLMUM OF TE14 (14) rKghIlhc ADt)PUISFA PER REQUan. <br /> 2. PuftLIC FILES/KPCORDS REVIEW Is BY AMIN'L)�LE4T�!Lq.LY. AP90IWM4VM'9,=ARMANGED BY <br /> CALLING (109)45$-0340. Or-51CR hOURs FOR APPOII'r MENETS ARE scup-OULED MONDAY THRU- FRIDAY <br /> EXCLUDING HOLII3AYS, 8-00 AM TO 12:00 MOON AND 100 Irm To 4:30 PM. <br /> 3. A I'1f1ILIC REcows RELEASE APPUCATIONi (PRRA)is It6QU1RED, <br /> 4. PultUc 1i ILirVRECORDS NoT PH-ruRNEA IN THE ZM98 CONL14TION AS AEceivm WILL 8fi COWtI:cTan <br /> IIY 'i7iE CRD STAEI: AT THE E}i!`EI4sa OF THE APPLICANT. THIS ADDMONAL OEAVILM WILL e6 SILLW SU TETE <br /> Arpu ANT MR PAYMENT. (SM iii}POLICY 9{4)07) <br /> 5. ORIGINAL PUBW PILMIRECORDS SHALL NOT 08 RtM01,03 MOrf THE EHD pRF-%41SFS. <br /> rip <br /> SIONATUR,F.,OF APPLICANT �_. _ DATE 3 ' <br /> SIGNATUREOF RELEASING OFFICIAL DATE <br /> No PHS/E" D RscoAOsfFiuvt An m frIFIED1 <br /> M+rR#+Yaw'�fT! 4LmNCwrtOrr Uw7w: . <br /> PHSIEHD R6C0Rb211'tLI3a MST ON TftE Abel w(cs)NaTEo. YiDu %ILL 8%NOTIPIIEA 1VOC V <br /> RECORDSIFILES AAE AYAILABLE VOR REf'IEW: <br /> pznp m er: tie[71'1cxYivn TYAia� <br /> Zo•d 92:OT s65T-To-,Nuw <br />
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