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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0543466
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 1:50:26 PM
Creation date
2/6/2019 1:21:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543466
PE
3528
FACILITY_ID
FA0004942
FACILITY_NAME
MATAGA OLDS BUICK INC
STREET_NUMBER
880
Direction
S
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95241
APN
04925026
CURRENT_STATUS
02
SITE_LOCATION
880 S BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
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EHD - Public
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I I L:L) 1-j <br /> 08-14-22200 10:29AN FL) <br /> C;.LATE=fj 0- TO U1555�5g7225 P.Q1 <br /> ��} D SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304EAST WEBER AVENUE,THIRD FLOOk <br /> STOCKTON CA 95202 <br /> (209)46H,� <br /> PUBLIC RECORDS RELEASE A0, Lid' <br /> ENVY JJ <br /> P ATION <br /> CANT <br /> ADDRESS <br /> k 6r-zA:Q, \ <br /> PHONE 9 &f � FACStMILE-- I Zte <br /> L <br /> T.ENITATIVEAPPOINT19ENTOATE <br /> (PICASce give 7 to 1 D tstAgI64S d4S ff"dale 0f;kppjj4RffW subrniti3j) <br /> CHECK BOX TO EXPEDM REQUEST-$67.00 FEE-RECdIEST PROC9SSE0 IN 3 5U&NESVr)AYS <br /> SIGNATURE OF APPUCANT, <br /> 1 .1 DATE <br /> FILE ADDRESS THIB 5106 EM STAFF USE ONLY <br /> PROGRAN ELeM9KT3&EQ= <br /> Z3 51 <br /> I -�Ifl. I <br /> C- <br /> L-s <br /> E. lQsN� <br /> Xy -41�11t 21�N W SID i36-1� <br /> V &tst T- <br /> MCI <br /> &A�j Q46a CnsaLaa �'l b V; i PQ 5 <br /> T)L), C) <br /> M <br /> n< C41 <br /> 4DC V—� . <br /> T- <br /> ENVEROMMENTAL HEALTH DIVISION FILES! <br /> UtiC)E9RGROUND TANS(UST)CLEANUP SIT?-'(LOP) n- HOMING ABATEMENT R 13 soLiD wAsTF-FAcury <br /> CIMIHCLEANUP-LEANUP SITE(NON-LOA) Cl FOOD FACnJW CI SOUDWA=VEHICL! <br /> V 0ERGROU90 TANK(?A0WFrOPJNCVREMDVAL) 0 DOG KENNEL C] bA)RY <br /> HAZARPOUS WASTE GENERATOR 0 C14CKEN RANCH 0 OKG TREATMENT PLANT <br /> P TIERED FERTAITT90 FAC[UrY El 140TELMOTEL r 0 PUMPER TRUCWTARWCHEM TOQXM <br /> P TATTOWBODY PFIRCING 0 FdOLISPA it 13 LAND USE APPLICATION SrTES <br /> P MLOCAL WAM FACILITY IM PUBM WATER SYSTEM 17 OTHER(PLWE SPEQFY ABOV124 <br /> 7. List up to batt addresses In tyre space above. SelaCt thip typa(5)of file;from the 113t above by c;hv-.king <br /> the appropriate box(es). At least one rile type MUST be selected. EAjto(209)4fi4&-138 or mail to the <br /> gddfjS5 lnoic;AW4 et)OVe- <br /> 1 <br /> 2. E80 will notify the applicant it any M f4as exist. An,appointment for revjeW will be conflirnwd <br /> approximately fibre business days but no later than top(10)days afterl�reccipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> A file that is actively being worKed on by EHO stiff may not 13*11 unmiad i4tely availahle for review. A new <br /> application may be submitted when the file is available, <br /> 4. Any file not returned In thq same condiflan as raleasied will bereorgartlz6d by EUD staff at the expense <br /> of the applicant. FuWra flic roviews,by the came spplicant may requir"o a$B7.00 deposit prior to ray iakw. <br /> 5. -MNTATIVE appointment dates must be confined with EHO Staff. <br /> 6. Applications received after 3;00 pm will be procaestd the ne4bWi"e:3s day. <br /> !CONFIRMEDAPPOINTMENT DATE TIME <br /> PATE CORFIRMIED PHONE FAX INITLALS <br /> L8£VJEWED <br /> YES NO REVIEW DATE <br /> 40 14 <br /> • TOTR- P.01 <br />
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