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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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2900 - Site Mitigation Program
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PR0009040
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/1/2019 4:59:08 PM
Creation date
10/1/2019 4:49:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0009040
PE
2960
FACILITY_ID
FA0004009
FACILITY_NAME
CALIFORNIA FUELS/D ATWATER
STREET_NUMBER
838
STREET_NAME
MOKELUMNE
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258
APN
01509082
CURRENT_STATUS
01
SITE_LOCATION
838 MOKELUMNE ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DATE RECEIVED ) EHD LOG NUN2ER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> \` 1; 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.slgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Terry Nephew BUSINESS/AGENCY: Kleinfelder Inc. <br /> ADDRESS: 5125 N. Gates Ste 102 CITY/STATE/ZIP: Fresno, CA. 93722 <br /> PHONE(1): (559)577-1459 PHONE(2): (559)647-3842FACSIMILE: 5594425081 - <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> CHECK BOX TO EXPEDITE REQUE -$130 FEE(CASH OR'CHECK ONLY)-REQUEST PROCESSED IN 3 6USI NES DAYS <br /> SIGNATURE OF APPLICANT DATE L! <br /> Electronic Information: List Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street N Street Name City Unit 1 <br /> 1. 2000 West Turner Rd. ' Lodi <br /> 2. 2240 West Turner Rd. Lodi �,�'tt�-S Unit 2 <br /> 3. 401 North Mills Lodi + <br /> 4. 838 Mokelumne ` Lodi [�-l� �nit3 <br /> 5. <br /> 6. lelf L/v runit 4/ <br /> 7. <br /> 8. Unit 5 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> jIgUNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE <br /> THER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE <br /> NDERGROUND TANK(MONrroRiNG1RELiOVAL) FOOD FACILITY DAIRY <br /> - ABOVEGROUND TANK CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS MOTELIHOTEL PUMPER TRUCKIYARDICHEIAICAL TOILETS <br /> TIERED PERIVITTED FACILITY POOLISPA LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMrr RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PN11(EXCLUDING HOLIDAYS) <br /> 1. List uD 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 addreso-indicated above._Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist.An appointment for review will be confirmed approximately ten <br /> (10)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 /> 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$130 deposit prior to review.—BOXED AREA-EHD USE ONLY" <br /> o Records provided b Staff-PPR Complete. Staff Name: <br /> oaovu <br /> EHD<0-00 <br />
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