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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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PR0009208
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/17/2020 12:20:16 PM
Creation date
6/17/2020 11:55:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0009208
PE
2950
FACILITY_ID
FA0004028
FACILITY_NAME
BRUCE DICKERMAN PROPERTY
STREET_NUMBER
502
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15109610
CURRENT_STATUS
02
SITE_LOCATION
502 N WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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REQUEST FOR PRIORITY REVIEW: <br /> TO: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ,ENT17RONMENTAL HEALTH DIVISION <br /> 445 SAN JOAQ UIN ST <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> FROM: E.f/�i�POi✓ti1Ft/1.9L /.r�� <br /> (coulpany nalne) <br /> RE: SVZ S/o WA Y — srairrz�; c� <br /> (facility address) <br /> I ffe) request that our project be assigned to available San Joaquin County Public Health <br /> Services, Environmental Health Division (PHS-EHD) staff as a priority review. <br /> I(We) understand that the review fee.ror this priority request is conducted during, office hours <br /> at an overtime rate of time and one-half of$53.00 (1.5 x $53.00). <br /> Furthermore, I(We) understand that the PIIS-EHD will bill the responsible party(ies) <br /> identified on the "Site Mitigation Acknoi dedgementlRequest for Services Form"for services <br /> rendered. <br /> Signature and Title Date <br /> 05 1991 <br /> ENVPERMI ISER lHEAC�UH <br /> Page 17 <br />
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