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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/11/2020 8:17:58 PM
Creation date
3/11/2020 2:34:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE AYPIXATION <br /> Appi1CANT Park E"nvlrvrmwntal Cor PHCRM NO 916/652-9861_ <br /> ADDRESS 3 cific Street Suite 7 Rocklin, CA 95 7�7 <br /> AGENCY NAME N/A PRONE NO <br /> ADDRESS <br /> EM ADDRESS LEAD AGENCY I2A7� <br /> 2088 Mariposa, Stockton N/A 1/21/9+ <br /> ; 132 Mariposa, Stockton 1 21 4 <br /> PAYMENT <br /> RECEIVED <br /> AN 7 r Mgt-- <br /> -�0410AYMN <br /> Ti OR�� <br /> ENVIRDNMENTAI Ncni TH D 4S4;4� <br /> THIS NOTICE IS SUBJECT To THE FXQUIREME TTS IDEN [IMM IN THS PUBLIC HEALTH <br /> SERVIC EVENVIRONME TI'ALHEALTH DIVISION(EHM POLICY M-W,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ERR FESS AND SERVTCF CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC PRLLS/RECORDS REVIEW ARE. BY �F,POIATIMBNT ONLY. APPOW11WENiS ARE <br /> ARRANGED BY CALLING (2(14}168.0310. OFFICE HOURS FOR APPOOiTb MM ARE SCHEDULED <br /> MONDAY THRU FRIDAY M(CLVDING HOLIDAYS,9:00 A.M. TO 12:00 NOON AND LOO P.M.TO 4:30 <br /> F.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF M.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE PRBS/RBCORDS ARE <br /> NOT AVAILABLE w1TILIN THE CUSTODY OF THE ETD_ <br /> A. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL Pn.E REVIEW FEE <br /> MARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABIZ PRIOR TO REVIEWING TAB <br /> DOCUMENT(S). <br /> 5. PUBLIC PILESIRECORDS NOT RETURNED IN THE SAME CONDMON AS RECEIVED WILL BE <br /> COIRRE(TED BY TIM.EM STAFF AT THE Is MENSE OF TRE APPLICANT. 'ILIUS ADDITIONAL <br /> sER VICE WILL BE BILLED ED TO THE APPLICANT FOR PAYMENT. <br /> ' 6. ORIGINAL PUBLIC FQBS(RECORDS SHALL NOT BE REMOVED FROM RHE EIID PRREMISM <br /> y` SIGNATURE OF APPLICANT 6, DATE /-A/ 9<J <br /> SIGNATURE CW RELEASING OFFICIAL DATE <br /> EH 00 14 (REV IV92) <br />
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