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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4444
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2900 - Site Mitigation Program
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PR0540885
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
4/10/2020 9:16:19 AM
Creation date
4/10/2020 9:06:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0540885
PE
2960
FACILITY_ID
FA0023381
FACILITY_NAME
FORMER EXXON SERVICE STATION NO 73942
STREET_NUMBER
4444
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11022017
CURRENT_STATUS
01
SITE_LOCATION
4444 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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04/08/2008 12:23 91637118x9 RANEY GEOTECHNICA' PAGE 02/02 <br /> EHD LOG NUMBER <br /> CEN000EOI. SAN JOAQUIN COUNTY <br /> APR � H 2008 ENVIRONMENTAL HRALTH DEPARTME390vor <br /> � �� <br /> ENVIRONMENT HEALTH 600 East Main Sttr�e.�et St, ockton,CA 95202-302 <br /> PERMIT/SERVICES Telephone: (209)468-3426Fk1t:"(2d9)4b4 0b38 Web: wwwse <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESSIAGENCY:—Raney Geotechnical,Ina`.__ <br /> APPLICANT:_Ponyenna Bamlch <br /> ADDRESS:_3140 Beacon Blvd..Wost sacramonto,CA 95891 <br /> FACSIMILE: <br /> PHONE(1): 916-371-0434 PHONE(2): _ <br /> _ ^916377.1809 <br /> TENTATIVE'APPOINTMENT DAT Wook of 4!1 if ee3S, R Wee o 4114 only Time:must a confirmed) <br /> (Please allow 10 business days date of app llration_suGWitL"d�S�Tw y- <br /> 13 CHECK BOX TO EXPEDITE 8.00 FE Q )-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> . <br /> SIGNATURE OF APPLICAN --7CJ DATE ,413108, <br /> Electronic Information: ❑ List❑Map—CCJJDescrlptlOw <br /> FILE ADDRESS EHD USE ONLY <br /> L1621Brookside <br /> t fF Street Name City ❑ Unit 1 <br /> Pershing Ave.(UOP?) Stockton F.Crown Ave.(Kohl E.le.School) Stocktonz <br /> Brookside Rd.(UOP?) Stockton \�Brookside Rd.(UOP?) Stockton �, QBrookside Rd.(Stagg Hlgh School) Stockton/ Pacific Ave. (Pacific Carwash) Stockton O 3q N.Pershing Ave. (Exxon#73942) Stockton 3 g5 ❑ units <br /> Specific Date Range of Information Requested:From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT M SOLID WASTE FACII.lWfVEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> x UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> X HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 173 WASTEWATER TREATMENT PLANT <br /> XTIERED PERMITTED FACILITY 173MOTELIHOTEL Q PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TArTOOn3ODY PIERCING 0POOLISPA O LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY C3 OMER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW -MONPAY-FRIDAY 9:00 AM-5:00PM - 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 Nle type MUST be selected. Fax to(20M 464.0138 ot 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 EMD 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> CHO 48-nR WEB NMOM7 <br />
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