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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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C
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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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Oct, 21, 2008 11 : 05AM ATS GROUP S-RVICES INC. No. 3568, P. 1 <br /> DATE RECEIVED <br /> • SAN ,IOAQUIN COUNTY cHD LUu NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/eh <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> rPJ,I, �,rivii_; <br /> p1PlP(t��rrf: 4�( 1 D. Sonke (mike sonke(a).at associates com) BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201 clty/statemp Modesto CA <br /> PHONE(1): (209) 579-2221 -Office PHONE(2): (209) 356-5018- Cell FACSIMILE: (209) 579-2225 <br /> TENTATIVEF APPOINTMENT DATE: Monday November 10, 2008 Time: 10:00 am <br /> (Please allow 10 business days from data of application submittal-`T�Pntaff"only-must be confirmed) <br /> CI CHECK BOX TO EXPEDITE REQUEST-�$1105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ( IU.ILL41 LQ^16G DATE _=kr 27.2006 <br /> Electronic Infortttation: El List[] Map Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city unit 1 <br /> 1. 10846 Copperopolis Rd. Stockton <br /> 2. ❑ Unit 2 <br /> 3. <br /> 4 Unit <br /> 5. <br /> 8. unit 4 <br /> �' ❑ Unit 5 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNoIROROuND TANK(UST)CLEANUP SITE(LOP) ❑ HOVSING ABATEMENT O SOLID WAM FACILrrY(VEHICLE <br /> M DTHERCLEANuP SITE(NON-LOP) FOOD FACILITY Q WASTE TIRE <br /> 0 UNDERGROUND TANK(MONrroMNGIREMOVAL) C7 DOG KENNEL C3 DAIRY <br /> O HAZARDOUS WASTE GENEKATOR t7 CHICKEN RANCH 0 WAMWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY C]MoTGLIHOTEL IMPUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 0 POOU$PA D LAND UNE APPLICATION SITES <br /> ❑MEDICAL WAM FACILITY M OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PER/ZIT RECORDS AREAVAILAELE FOR REVIEw-MONDAY-FRIDAYE:0O AM5:00PM - EXCLUDING HOLIDAYS. <br /> J. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the approp Flats <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0188 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 flieswlll 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. Anew application maybe <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 bythe same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> cu.. om om�mc of mi it orrnrnc rrrece eoa mo�� <br />
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