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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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PR0009016
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/17/2020 1:25:11 PM
Creation date
6/17/2020 11:32:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0009016
PE
2959
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
01
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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Di C; SAN &QUIN COUNTYPUBLIC HEALTH VICES �� x <br /> �H �� � ��'� ENVIRONMENTAL HEALTH DIVi51ON '� <br /> 304 EAST WEBER AVENUE,THIRD FLOOR <br /> NOV'1 5 2000 sTOCKTON CA 95202 <br /> {206}46a-3420 <br /> ENT o Z 0Y (/61/ b r 3$ <br /> ENVIRON HEALTH PUBLIC RECORDS RELEASE AP !C) ION <br /> PERM�T/SER�i + <br /> PPIJCAN7 �nC p HUS1N$SS/AGFNGY q p <br /> I�OPRE55(y /SVIJ 1 t "17�J-1-M !J IVA � .1�14�GNC��'7'�/' !S[�Z L7 <br /> PIyONE /� 7�'/ �FA/CSINU-E ]loJ <br /> TENTATIVE•APpoiNTMENT PATE /" DV akizp TD 2 TIME ®/Q <br /> (PLoafa pNq 7 l0 90 byalnn"I 4ays from Oats of wo-adop*QhaA al) <br /> CHECK BOX TO EXPEO(TE REOuJr*T O F- - eOl"ESSED IN 3 HUSINESS DAYS <br /> SIGNATURE OF APPLICANT lDATE I/ /S <br /> FILEADDRFSS THIS SLOE EHD STAFF USf ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> 2 , — a e 3s a'7 � <br /> I <br /> �. ENVIRO MENTAL HEALTH DIVISION FILES <br /> -UNDERGROUND TANK(USTI CLEMUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> OTHER CLEANUP$ITE(NON-LDP) ❑ FOOD FACIUTY ❑ SOLID WASTE VEHICLE <br /> O UNDERGROUND TANK(MONITORINCLIREAIOVAL) O DOG KENNEL In DAIRY <br /> -64(AZARDOL13 WASTE GENERATOR ❑ OIUG#N RANCH G PKG TREATMEMr PLANT <br /> TIERED PERMITTED FACILITY ❑ MOTELlHOTEL tZI PUMPER TRUCKIYAR=HEM7OILETS <br /> ❑ TATYOOfaOOY PEIRCMU ❑ POOL/SPA Q LAND USE APPLICATION SRFS <br /> O MEDLGAL WASTE FACILITY .❑ PUPLIC WATER SYSTEM ❑ OTHER(PLEASE SPECIFYA80)?q <br /> Lkst Up to ton addresses In the space above. Select tho-type(s} of files from the list above by cheCkinD <br /> file appropriate box{es}. At feast one file type MUST be seleetud. Fax m (209)4&1-0138 or mall to e <br /> address indicated above- <br /> 2. EHD will notify the applicant if any EMD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five buslness days for review. Appointments should be schoduled <br /> accordingly, <br /> 3. A file that is actively being worked on by EHD staff may not.be immediately available for review. A new <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the seme condition as released will be reorganized by EHD staff at the expense <br /> of the applicarlL Future file reviews by the same appilcent may require a$87.00 deosit prior to review, <br /> S. 'TENTATIVE appointment dates must be confirmed with EHD staff. p <br /> 6. ' Applications received after 3100 pm will be processed the next business day. <br /> �:ONFIRME<D APPOINTMENT DATE TIME <br /> OATS CONFIRMED PHONE FAX INITIAL* <br /> REVIEWED YE5 NO REVIEW DATE <br /> ex w ,. o Amo <br /> TOTPL P,01 <br />
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