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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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PR0536935
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/7/2020 9:27:08 AM
Creation date
7/7/2020 9:24:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0536935
PE
2950
FACILITY_ID
FA0021203
FACILITY_NAME
VACANT-FRMLY HOLLYWOOD VIDEO
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
14129014
CURRENT_STATUS
01
SITE_LOCATION
678 N WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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To: Page 2 of 2 2015-10-12 20:19:16(GMT) 14155205858 From: Carrie Locke <br /> lV SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> OCT 12 2815 ENVIRONMENTAL HEALTH DEPARTMENTS <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 E <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> WRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Carrie Locke BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 1819 Jackson Street,Apt.4 CITY/STATE/ZIP: San Francisco, CA 94109 <br /> PHONE(1): 415-505-8090 PHONE (2): FACSIMILE: 415-520-5858 <br /> Please allow 10 business days From date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOXTO EXPEDITE REQUEST-$13QFEE;acASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT—" — ---61--_ DATE October 12,2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# IStreet Name city <br /> E]Unit 1 <br /> 1. 602 North Wilson Way Stockton <br /> 2• 604 �NoRh Wilson Way Stockton / <br /> -- --- [2'6nit 2 <br /> 3• 616 North VVilson Way Stockton <br /> 4, 624 North Wilson Way Stockton gunit 3 ` f. <br /> 5. 678 North Wilson Way Stockton ." <br /> .. _._ - ITEMITIGAl10N <br /> 6. 1 700 North Wilson Way Stockton // <br /> 19-Unit 4 <br /> 7. 1 702 North Wlson Way Stockton <br /> 8• 712 j North Wlson Way Stockton <br /> 9. 714 North Wlson Way Stockton <br /> 10. 724 North Wilson Way Stockton ❑Unit 6 <br /> Specific Date Range of Information Requested: From Earliest to Latest <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITYX❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑X WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEUHOTEL ®PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO113ODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List u0 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 rile type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. 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 be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <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 $125 deposit prior to review, "**BOXED AREA-EHD USE ONLY*** <br /> io <br /> Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 5M115 <br /> 115 <br /> Received Time Oct. 12, 2015 1 : 19PM No, 9762 <br />
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