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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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PR0505272
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/18/2020 1:08:55 PM
Creation date
6/18/2020 1:02:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505272
PE
2953
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
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Oct 08 2007 1 : 01PM Ge-loeica Inc 415--97-7880 P. 1 <br /> F-1-1 --- - <br /> SAN JOAQUIN COUNTY EHO LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> �jelephone. (209)468-3420 Fax:(209)464-0138 Web:www,sjg <br /> 0 <br /> h <br /> -o d <br /> 3 57fo <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> L <br /> APPLICANT: <br /> SS <br /> _ � <br /> ADDRESS. SUSINESSIAGENCY: <br /> _Nil 4, <br /> e (16 <br /> PHONE(1): :?=Z—PHONE(2): FACSIMILE:_lt'(r- wfo <br /> TENTATIVE*APPOINTMENT DATE: <br /> (Please allow 10 business days fromTime: <br /> Odle cyr aPPlIcatlon submittal <br /> CHECK BOX To EXPEDITE REQUEST Tentative only-mu—sl b-._.._nfi=.d) <br /> C EE(C OR CHECK ONLY)-REQUEST PROCESSED IN 3 t3INEDAYS <br /> SIG,'NkATE OF APPLICANT :Z�F 2— <br /> DATE !!d d" Q <br /> Electronic Information: E]List E]Map–Description: <br /> FILE ADDRESS <br /> Street# —Street Name city EHD USE:ONLY <br /> 0 unil I <br /> 2. C <br /> 0 irf4�� <br /> 3. 630 • E03 UnIt2 <br /> 4. ( Z.qD ea – <br /> )7q& 5. Un't <br /> 3 <br /> 00-un It 3 <br /> 6. <br /> tfnit <br /> 7. 7 <br /> 4 <br /> 0 0 unit�nft 5 <br /> it <br /> 10. <br /> a n <br /> [I Lim 6 <br /> Specific Date Range of Information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> � LLINDERGROIUNI)TANK(UST)CLEANUP SITE(LOP) <br /> C& E3 HOUSING ABATEMENT r-1 SOLID WASTE FACILiTyNeHICLE <br /> I. OTHER CLEANUP SITE 0 FOOD FAc1LrrY <br /> Q UNDERGROUND TANK(MONITORING/REMOVAL) El DGO KENNEL M WASTE TIRE13 <br /> HAZARDOUS WASTE GENERATOR M CHICKEN RANCH DAIRY <br /> TIERED PERMITTED FACILITY C3 WASTEWATER TREATMENT PLANT <br /> TATToo/BODY PIERCING 0 MOTELIHOTEL 13 PUMPER TRUCFJYARDICHEm TOILETS <br /> MEDICAL WASTE FAcILITY 0 POC[LISIPA C3 LAND USE APPLICATION SITES <br /> 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvAiLARLE FOR REVIEW- MDNDAY-FRIDAY 8:00 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 file type MUST be selected. Fax to(2019 <br /> L _; Address <br /> L41!��l -d 'd above. dre <br /> .13�8!�o r 1 0 haddress <br /> -0 _ mail t!�e! <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 EHD 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 behold for a MaxlMUM 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 /> EHD 40-M WEB a,,,, <br />
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