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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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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
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EHD - Public
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4 4 0 9�' 0 4 <br /> Rior, 23 2003 8' 0GAM <br /> PAGE 131 <br /> A4 2'��q 0 1 <br /> 3!1 4640139 ENVIRDNMNTAL HEALTH <br /> 1i SAN JOAQUIN COUNTY <br /> 6 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAST WESER AVENUE,THIRD M10OR <br /> APR 3 2001 STOCt(TON CA 91202 jl' <br /> kE N V I K!E N T HE'A L1 H, (209)4884420 Ij <br /> PUBLIC RECORDS RELEASE APPLICilkTION <br /> APPLICANT ALI;7X_bd Ur-,blb EW3"dFS3/Ar7ENCYSV_r_kLM 1 1-7 <br /> ADDRESS ay 0 0 AqT741 t,L. A-vNi-.1 G,411v_ <br /> PHONE M.-Y813, FAGS INfLE <br /> 7 ral <br /> 1 <br /> TENTATWE*APPO*nWENT DATE rTime <br /> (Pimwe give 7 to 10 busirms Mays fromfromdate 01APPF100tWil au[Mu'tta11 r -4 <br /> QUE37 ppb0CMSED N 3 RUSI.74ESS Da:ra <br /> CHECK BOX TO EXPEIX'M AIEQMST-'fmaa FEE-RE <br /> 7 <br /> -*SIGNATURE OF APPLICANT <br /> D.ATE <br /> THIS S011 EHD STAFF-fuss�ONLY <br /> FM ADDRESS cs PROGRAM ELFNIEN SEARCH <br /> ENVIRONMENTAL HEALTH DIVISION FIDS <br /> 0 SOLID WAS-M FACILITY <br /> E3 SOLID wAsTi;vuHici.6 <br /> UNDWROROUNO TANK(usT)CLEANUP SITE(LOP) M HOUSINQ ABATEMENT I <br /> OTHER CLEANUP SITE(NON4.0p) 0 FOOD FAaLrff <br /> FunianuMOVAL) C3 DO4 KENNM CI 1:0117ty PLANT <br /> UNDERgROUND TANK(MONITO 0 FKC-i TREATMENT <br /> 0 CmiCKERPLANCH H11M TO11LETS <br /> WASTE GENERATOR 13 InjNIPER TRUCKIYARM <br /> HAZARDOUS r.3 <br /> iG C3 TIERED pgRmrrrr;.o FACILITY C3 POWSPA pROTELiHOTEL <br /> 0 C MEDICAL WA TE FACILITY C3 LAND USI-APPLICAT10M GMES <br /> TATTOORMY PSIRGING C3 OTHaR(pLEAsE SKCIFY)-- <br /> le(s)of"Ies;from the ci-iij above bychecking <br /> 1. List Up to tan addresses In the space above. Select the <br /> tyrpthe apprioprilate box(es). At least One file type MUST be"acted <br /> ebove c;onnrmed <br /> 2. VM=applicant If any EMD *xLqt. An appointmPt for r1Wi9%,W Will be tl*n. The file"; <br /> roximgGlyfive business days but no lator th2n t*0(10)days after relAiPt Of TP11341" <br /> scheduled <br /> app maximum of live business days for revIew. Appointrmentsshould be <br /> will be hold for a 0 <br /> acoordingly. mod'At'illy uvallatble for review. A now <br /> 3. Arils that is actively being worked an by EHD Staff 17110Y not be irn <br /> application may bo subrnitted when the file Is available. 't <br /> me oondition as reloased will be feQrg4jrilzrr.xJ b�F Elill)staff Surto <br /> t 1he exPA11190 <br /> 4. Any file not returned in thesa lgws by the saine appliCilini may r0quirf!jj$av,00 deposit prior to rBvJuw. <br /> ofthgapplicani. Futur*fIIST§v <br /> 5. *TENTATM Spipoliltment date$must be confirmed with EHD staff. <br /> pm will be processed the next bUfRinOWday- <br /> Applications recahred after 3.0 <br /> CC)N FRIVIED APPOINIVENT'DATE NE <br /> 0 <br /> I "nALS <br /> PHONX FAX, <br /> M <br /> FID3ATECONFOMED <br /> YES NO RVIEW VE <br /> REVIEWED <br />
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