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SITE INFORMATION AND CORRESPONDENCE FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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3500 - Local Oversight Program
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PR0544591
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 2:38:17 PM
Creation date
6/21/2019 11:32:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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•' IU 1�c•� .www.+ ...� <br /> 1 P ILI <br /> P H A S E SAN JOAQUIN COUNTY 12 IJA4 <br /> P H A S E IBLIC IIEALTII SERVICES <br /> s )NMENTAL IJEALTII DIVISION <br /> Site Assessment Services ECORDS LEASE APPLICATION <br /> David K. Wood nt <br /> L1, PHONES NOf <br /> Registered Environmental Assessor , <br /> CS��I333� <br /> `y�z 0 E <br /> 355 W. Olive St.. Suite 108.Sunnyvale.CA 94086 NE NO <br /> (408)733-8384 Fax (408)733-8386 <br /> S ADDRESS LEAD AGENCY TE <br /> E44 <br /> 21C-"t EH Qr: r, <br /> i.. U i-' '�5,'� - 1 X199 i <br /> 0 20�1 e��I�I-O� G..:¢; �dG �J � db <br /> S c, t l� C .���-i 5 C i >� U �J 2 s• MEL HEALTH <br /> �23z_ i ItIt <br /> 21 P-3 1 It rr tr <br /> '21 30 1 11 it 1 � <br /> is a 1 � It rt 'i <br /> 22L�� �2�0`✓ 1ttt � I <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICEStVWVIRONMENTALHEALTH DIVISION(HHD)POLICY,994-007,ORDINANCE CODE OF SAN <br /> JOAQUIN CbUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (19) PREMISE ADDRESSU PER REQUEST. <br /> 2. PUBLIC PILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM To 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) 13 REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD'STAFP AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIOINAL PUBLIC PILES/RECORDS SHALL NOT Be REMOVED Ons THE EHL)PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELVASINC OFFICIAL DATE <br /> No PHS/EF(D RECORDS/FILES ARE IDENTIFIED: <br /> DAM Rni,.m m NameA+w.Mw: <br /> I <br /> PHS/END RECORDS/PiLE3 EXIST ON THE ADDRESS(ES)NOTED. YOU /TILL BE NOTIFIED WHEN <br /> RECORDSIBLU ARE AVAILABLif FOR REVIEW: <br /> DAM ,aawm rr Nw,weA,wl D.,e <br /> TOTAL F.02 <br />
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