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11180
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2900 - Site Mitigation Program
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PR0517920
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/1/2020 12:36:03 PM
Creation date
6/1/2020 12:34:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517920
PE
2951
FACILITY_ID
FA0013622
FACILITY_NAME
JIM ROBINSON FAMILY TRUST
STREET_NUMBER
11180
STREET_NAME
VALLEJO
STREET_TYPE
CT
City
FRENCH CAMP
Zip
95231
APN
19338003
CURRENT_STATUS
01
SITE_LOCATION
11180 VALLEJO CT
P_LOCATION
99
QC Status
Approved
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EHD - Public
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05/02/2007 16:15. 91648302 HUANG ASSOCIATES PAGE 81 <br /> QA7 k RECEWD EHD LOG NWSER <br /> SAN JoaUiN Coin <br /> ff D <br /> ENvtRONMENTAL HEALTH DEPAR <br /> I F V E 304 fiast Weber Avenue,3 Floor,Stockton,CA 952 <br /> Telephone:(209)46&3420 Fax:(209)464.013$W sjgay.o <br /> MAY 0 2 2007 4Z <br /> AITU PUBLIC RECORDS RELEASE APPLICATION G;00 <br /> EEvv1 .�•eP <br /> BualNesarAaENCT: K3�4% <br /> ADDRESS: vCITY CiiJla+T STATE <br /> PHONE(1): l6 �f 3 (o PHoft�(2): _ . fAMMILE; <br /> TENTATIVE"APPowWNT DATE:_. Time <br /> (Pies"allow 14 business days from data of oppliceon s mittal-'TerrtsUve only-must br eonNrnred) <br /> HECK BOX TO EXPEDITE REQUEST .DG FE ASH OR CHECK ONLY)-REQUEST PROCESSEb IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _.. DATE <br /> ElsebroMe C3 LW [}M"•W"jP"" <br /> fn[wnlstion <br /> FILE ADDRESS EHD USE ONLY <br /> Sbast 0 surf:N"t C1ty <br /> 4• ❑ Unit Z <br /> 2. <br /> 3. ❑ Unit 2 <br /> s. runitZ <br /> s. <br /> WIr"$ <br /> Ab [ED] Unit <br /> 9. v <br /> 10. El -Unit 6 <br /> Specht Date Range of InfOrrin+>rffon ussted:Frown .l9 e7o s _ to .,Aester <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILE$ <br /> :tbtDERctRRO M LANK(VST)CtAMW$m (LOP) 13 HOWIM AaATTOMT O SouD WASTE FACILlWffl *= <br /> �:pntwi Ct EANUP am:(Non-t 01P) O Fano FAcxurr 0 WASTE TIRE <br /> ]I UMER0MMU TANK(SI0NIT0ftWWRBINOVAL) D Doo KENNEL D DAIRY <br /> 0 HAtAwous wAEtt Gua wtATOR O C"MEN RANCH 13 WASTE"ATER TRIATUM PLANT <br /> 0 TIEkm PVMrMD FAMM O MOTELIHOTEL 0 PUMPER TkvcPdYARDfC wur.At TOLEts <br /> f]'rATTOOfBODY PIRRem 0 PDOLJSPA 0 LAND Uie APPUCATWN ants <br /> 0 MEDICALWANTE FACLJtY 0 OTHER(PLEAst SPECIFY)_ <br /> weLL ANO SEPTIC PERurT RECORDS Alm ArAILAsLr;FOR REyew -MONDAY.FmDAY 8:00-AM-6:00pm —EXCLUDING HOLIDAYS. <br /> 1. list up to ten n4dresses In the spate above. Select the type(s)of files from the list above by checking the <br /> a ro risltebox�es�. At least one file type MUST be selected. F 09 or mail 12 the addrm <br /> Pp p <br /> Indicatel.,pbove. Address ranges.will not be accepted—for additional assistance with Tile addresses,contact <br /> the EHD. Applications received after 3.00 pm will be processed the next business day. <br /> 2. The END will notify the applicant If any EHD files exist. An Appointment for review will be confirmed <br /> approximately ten (10)days after receipt of application. The files will be held fora maximum of five business <br /> days for review. Appointments should be scheduled accordingly. <br /> h 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new <br /> appilcation may be submitted when the file Is available. <br /> 4. Any file not returned in the same condition a's released will be reorganized by EHD staff at the expense of the <br /> applicant. Future fila reviews by the same applicant may require a$93.00 deposit prior to review. <br /> i <br /> i <br /> WHO asp <br /> +ootaaea <br /> I <br />
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