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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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PR0506427
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
5/2/2019 2:12:36 PM
Creation date
5/2/2019 2:00:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0506427
PE
2950
FACILITY_ID
FA0007417
FACILITY_NAME
ARCO #YWOP
STREET_NUMBER
1100
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
1100 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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ii <br /> 05/26/2605 13:28 707748fi''.1 " CERES ASSDCIATF� PAGE 02/6' <br /> kmu LW numiftm <br /> SAN JOAQUIN COUNTYE I <br /> ENVIRONMENTAL HLAL1"H DEpARTW1q T f <br /> 2 0 2005 304 East Weber Avenue,3''Floor,StocktDD,CA 95202-2709 <br /> E # ONfa I�fT H�elephone:(209)465-3420 Tax:(209)464-0138 Web;WWW-sj9Qv.orgletxd <br /> i <br /> PERMITISEPM6 pUBLIC RECORDS RELEASE APPUCATXON <br /> AP�tacMrr: <br /> Assoc 1-4e.2- BUSIN6VAG&cy: - <br /> Lk T`i vs h <br /> A[1DR>ErSS: ' <br /> PWNI;(1) ._, -- —, ^1=ACSlh11[E: "� <br /> ; <br /> TENTATNE"APPotN'mwT DATE.�O {05 'f_ T1ma: X11 e A <br /> (F►*w a0ow 40 busim"days from 940 ar apAcI900 eubmKW-'maitre only-muss be eanfimsd) <br /> I <br /> El <br /> CHS(BOX To 001ELIITE FtEGUEST-$13.24 ME(CASH QR CHECK C)NLY)-,,REQUEST PROCESSED IN a BUSINESS DAYS � <br /> SIGNATURE OF APPUCA1 T ' DA-M <br /> UNIT=TRmatmoN 0 Unit 1 0 Ufdt 2 Untt S 1Jnit 4 a Untt 6 G tJnit 6 other(uledronrslUstarmapsl <br /> s <br /> i <br /> FILE A11011 SSS EHD USE NLY <br /> atr*o#p stmat Name CINY <br /> 3. afl <br /> i <br /> 4. <br /> 71 1t�4 <br /> Specific.Date Range of Informa gon itequestsd:FrM " to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UtwbEl WUW TAW LUST)OXAN P&M(LOP) 0 Hous m AMMMENT in SCUD WARM FA ftrn1VeHnz <br /> 0THER CiAWW srta(WWL0P) 0 Dom KCL IIr C3 WAM❑#7AtRY MRe <br /> mgr 0=7AW(MomrroR wro vAL) <br /> WASTE CMIRATOR a CHam RAMejq Q wP, TIOWt Psteel <br /> G Pew FACLITY G bMMUf10TO.. i <br /> 0 TATTOOM qY 1319MING 0 POOt/SPA r 13 LAND Use APK]amm ftm <br /> 0 MOMAL WASTE FAMLITY C3 GTtM"%LMM <br /> MLAN7 SN TIC PMWXR5=tX AAA AYARAN.E FOR RMIE,W- M0wAY4:NuAY$:00 AM 6:00PM - IDMUD"HOWMAY& <br /> 1. List up to ten addresses in the space above. Select the type(s)of figs from the list 8bove by checking the <br /> appropdate box(es). At least one file type MUST be selectad, EjZto 209 464-0121 or Mid] 0 B <br /> indicated above.- Address ranges will not be=*opted—far additional 9tasi5taoce with file addresses,cbntact <br /> the END.Appileatloas reesived after 3:00 pm will be pmeessied the next business day. <br /> 2_ The EHL)will notlly the applicant if any EHD fifes exist. An appolrft6t for r wkW Will be confirmed <br /> approxfmatelyr ten(10)days after receipt of application. The files will be held for a roaximum of fire business <br /> days for review. Appointments should be scheduled accordingly. it <br /> 3. A file that Is actively being worked on by EHD.staff may not be immediately avalifabla for r*vlaw/ A new <br /> application may be Submitted when the file is available. <br /> 4. Any file not rdurned in the same condition as releases)will be rporganixed by IEHb stag at the expense of the ; <br /> applicant. Future file reviews by tate same applicant may require a$93.00 deposit prior to review. <br /> s�rraro� F, <br /> lid d Hl-W_"II 1H1N3KNQuIM3 8EI0b4b ZL:11 S06Z/TT/Z6 <br />
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