My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO PRE 2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
1100
>
2200 - Hazardous Waste Program
>
PR0517958
>
COMPLIANCE INFO PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/8/2019 9:36:07 AM
Creation date
5/8/2019 9:22:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0517958
PE
2220
FACILITY_ID
FA0007464
FACILITY_NAME
MAIN STREET ARCO AM PM*
STREET_NUMBER
1100
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
22119062
CURRENT_STATUS
01
SITE_LOCATION
1100 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
FRuiz
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
83
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DCJ)Aff QED 1I �r� <br /> ,"; <br /> l SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL REALM DEPARTMENT <br /> M1 0 5 N07 304 East Weber Avenue, 3dFloor, Stockton, CA 95202-2708 <br /> ENVIP0J\1l0Ei'dT HEALTITelephone: (209)468-3420 Fax: (209)464-0138 Web: wwwsjgov.org/ehd <br /> PERM11*/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: t,ULt>UI=o Sit ►}{LWi/� BUSINESS/AGENCY: <br /> ADDRESS: Mn) ✓\ C- S 3 S <br /> PHONE(1):_(C� 1 1 4 _2 311 PHONE(2): FACSIMILE• <br /> TENTATIVE*APPOINTMENT DATE: Time: GvV/'r <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY)-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 <br /> ❑ Unit 1 <br /> 1. i 1 6n S YVIA 1 rJ ST���� M/tt•J't�� i <i t��� <br /> 2. <br /> ❑ Unit 2 <br /> 3. <br /> 4. ( i r,, D D eunit 3 <br /> 5. <br /> 6• ^�I ZOOT —7Unit 4 \ <br /> 7. HI`1 <br /> g. ❑ Unit 5 <br /> L190 = <br /> ❑ Unit 6 <br /> Specific Date Range of Information Requested:From to ` <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES . <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT O SOLID WASTE FACILIAEHICLE <br /> OTHER CLEANUP SITE{NON-LOP) ❑ FOOD FACILITY ❑WASTE TIRE <br /> (SI UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY VVV <br /> HAZARDOUS WASTE GENERATOR 11 CHICKEN RANCH 11 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 17 MOTEUHOTEL 17 PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING ❑POOL/SPA ❑ LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REv1Ew - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> I. Ust 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(209)464-0138 or mail 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 files 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br />
The URL can be used to link to this page
Your browser does not support the video tag.