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Environmental Health - Public
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4700 - Waste Tire Program
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PR0526409
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COMPLIANCE INFO
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Last modified
2/28/2019 11:37:18 AM
Creation date
2/27/2019 2:35:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526409
PE
4740
FACILITY_ID
FA0002253
FACILITY_NAME
JACK FROST ICE SERVICE
STREET_NUMBER
36
Direction
N
STREET_NAME
D
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318028
CURRENT_STATUS
02
SITE_LOCATION
36 N D ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
CField
Tags
EHD - Public
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0112212015 16:07 -`,X) P.0011001 <br /> I■ <br /> 0 <br /> i4® DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN -2 3 ZOTEelephene: (209)468-3420 Fax: (209)464-0138 Web: www.sJgov.crg/ehd <br /> ENVIRONMENTAL HEALTH i <br /> PERMIT/SEFMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:AdVancedQeoEnViron Mental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:—Stockton /CA/95215 <br /> PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 bmfness days from date of appllcat]on submittal-"Tanfative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE $126 FEE( CHC -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City - Unit 1 <br /> 1. <br /> 19 0 Miner AV—, Stockton A Unit If <br /> 3' 2150 East Fremont Street Stocktont K� l <br /> a. 103 North E Street ��� Stockton 3 Unit 3 <br /> -F <br /> X. 36 D Street Stockton ! <br /> Is. 124 North E Street k�'( Stockton ..•o'unit4 <br /> 7• 11 South A Street Stockton <br /> El. 1750 East Channel Street Stockton 0 Units <br /> 10. \ 71unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT x❑SOLID WASTE FACILITYNEHICLE <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> RI UNDERGROUND TANK(MONITORINWREMOVAL) ❑Do0 KENNEL Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEWCAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA LAND USEAPPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(208)J§4:9135 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The Flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3, A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <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 the same applicant may require a$125 deposit prior to review. <br /> �l��1 �r'� � l',._i.1 C r ,rr;.±l.'•iy ��.L��.:f�i4,(� *_EFIUUS€t -y` r�'1� �i � ��-('_1( -:>i, /..1.>•"�..i"`? t` r <br /> Received Time-) '*, 22, 2015 3:59PM No. 7944 <br />
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