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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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COPPEROPOLIS
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10848
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2900 - Site Mitigation Program
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PR0536777
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/18/2019 11:26:06 AM
Creation date
6/18/2019 11:09:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0536777
PE
2960
FACILITY_ID
FA0021126
FACILITY_NAME
FORMER COUNTRYSIDE MARKET
STREET_NUMBER
10848
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10311006
CURRENT_STATUS
01
SITE_LOCATION
10848 COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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— 4/1/2009 8:38 AM Fyy: 209.579.2225 ATC ATC-Associates TO: 464-0PAGE: 002 OF 002 _— <br /> HI IL� �I D SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> A": 12009 600 East Main Street,Stockton, CA 95202-3029 '//�Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.4 jt3-3 <br /> ENVIRONNIEN I HEALTH (� <br /> PERMiT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D Sonke (mike sonkel0'�atcassociates.corn) BUSINESSIAGENCY: ATC ASSOCIateS _ <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201 city/State/zip Modesto CA <br /> PHONE(1): (209)579-2221 -office PHONE(2): (209) 356-5018- cell _FACSIMILE: 209)579=2225 <br /> TENTATIVE`APPOINTMENT DATE: Friday. ADrll 10 2009 Time:_10 00 am <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i( Yic DATE April 1.2009 <br /> Electronic Information: ©List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street R Street Name city <br /> 1. 10848 Oopj3eropolis Rd. Stockton Unit 1 <br /> 2. 7777 W Eleventh Tracy S ❑ Unit 2 <br /> 3. 315 Eleventh Tracy 35a8 <br /> 4. m <br /> 5. <br /> 6. UnN 4 <br /> 7. <br /> 6 ❑ Unit 5 <br /> 9. <br /> 10. ❑ unit s <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILRYNEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY 0 WASTE TIRE <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) Cl DOG KENNEL ❑DAIRY <br /> W HAZARDOUS WASTE GENERATOR 11 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 171 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEM TOILETS <br /> 11 TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY)Retail Market Files-For 10848 COpperopolls OnlV <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 6:00 AM5:00PM - 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(2091464-0138 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD48-06 8104108 PUBLIC RECORDSRELEASEAPP FORM <br />
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