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07/28/2017 13:15 4808304888 ATWELL LLC PAGE 02/02 <br /> RECEIV EHD LOG NUM81"R <br /> n/►��,,� SAN.l0AQU1[V COUNTY <br /> DATE•4EC� EI � 2�'�P �/IN ENVIRONMENTAL HEALTH DEPAf:TIdENT <br /> Stockton,CA 95205-6232 <br /> 868 Eest Hazelton Avenue, s ov.orgrehd <br /> T `L�V��`1'elephone:(209)468-3420 Fax <br /> (209)464-0136 Web:gnaw_ 19 <br /> pEmITr,—R1'AtE3` PUBLIC RECORDS RELEASE APPLICATION <br /> BU31NEgSlAGENCY: S �O <br /> l CitYlSTATEIZIP: <br /> APPLICANT. ^/ <br /> ADDRESS: b a / J c /tl�'`13 "10�9 _FAXOR F-MAIL: ,r—?��..fir_ <br /> PHONE•(2):s-► for the records to be av�ilabN2. <br /> PHONE(1j: date of 8*1c3fim s" � ted records. <br /> Please allow 10 business days from t date and time to review tate reques <br /> Staff will corrttact YOU to arrange an appon -SS DAYS <br /> E $,13g FEE(GASH OR CHECK ONLY)-Rr=Cl Y PROC DATE IN�8USINF <br /> �--�-- <br /> ❑ CHECK BOX TO EXPEDITER checking the appropriate <br /> e s of files from the list beloved by � Address <br /> SIGNATURE OF APPLICANT ace below. Select the typ { ) 3 0 <br /> 1 <br /> Stu toe a d ss s In thee spat be sal®clad• a ° roeeased the ner-wxt business day, <br /> box(es), At least one typed. lications received after 3:00 pm will b®p <br /> ted.App please contact EHD at the number noted above. <br /> ranges will not be accep approximately ten(10) <br /> EHD files exist. An appointment for teVlew will be c nfirmed for rev ew. Appointments <br /> 2, For assistance in identifying the nature and content of RWD reco s, p <br /> the applicant If any <br /> 3. The EHD will notify application. The files will be held for a maximum of fiv®business days applicant. , <br /> days after rect d of app ani2ad by EHD staff at the expense of the <br /> should be Bchedul®d accordingly. ; <br /> applicant may require a 5139 deposit prior to review. <br /> Q, Any file not returned in the same condition ag released will a reorganized CL��G HOLIDAYS) <br /> Future file reviews by the sem®aPP REVIf: MONDAY-MAY B�AM-5:WV <br /> WELL A►dD 5EP11G P>rRT�IfT RECORDS ARE AVAILABLE FOR <br /> List Map—pescription: f <br /> Electronic Information: ❑ From <br /> Specific Date Range of InfornaRio Regtle <br /> ENVIRONMENTAL. FILE ADDRESS EHD USE ONLY <br /> HEALTH DEPARTMENT city <br /> FILES $tr®at Name <br /> Str�2st# S <br /> unvERcuourro TA7f1f(UST) (p� F �G k� <br /> CLEANUP Sm(LDP) 1 V 1 l� ha 4t r A D14KY <br /> pTHER CttWLM SIZE <br /> MAZAROdl15 YW,sre r J� � � /� <br /> TIEAEa PEmMEU FACO." <br /> powropwl+o Tmm I 6� 1 LIC 7�n 11 r JC, <br /> UST waw=—IFj¢w-m) A,r .) <br /> p M."Ac us M"T" LE �o ` <br /> (l Sp7LL(R£LSAErE RESPONSE �1 r (JIGi�� ����• `A <br /> Sm WAM rL *�I VENIa/V o 4 <br /> aW" Q � VMt;A" <br /> Q Foos FNC"rf I 1 pc�C v <br /> n POOL <br /> I SM 3 C 1'�Of�t l Lj e- <br /> Q LAND Use APKirA"Ow SM <br /> grpm PumPER TWC%1 e 3a� Aa ro(-o. , -L, ICI <br /> YARD I CNE7WMAL TMvL s ®CSA <br /> p WAurmArEA TPuTVV r PLANT NJ L <br /> C14ouma ARATEwDff N77 <br /> MML1HOTeL � hOJ ( , LS <br /> CUPA•UST <br /> []Cm,unap RAwCN 1 Doo KENNEL G� '1" <br /> MR !oicRL WAsw FACU" a ,� d r� �' 1/' <br /> TATOCV9=Y PtlLeCma ( G ` 1 ❑SOLO WASTE <br /> ❑ <br /> WASTE TSE o" - CA <br /> CI OrNan[PLEASE gDC.Cf`Ii: A <br /> ,003 , jcora ��. Cs <br /> A•• <br /> 2.71. •- e'}, — -1 -Cc.(lr,. '.)' r)r <br /> —t' " <br /> ❑ Records provided by Staff-PPR Complete. staff'Or": <br /> Received Time=Jul, 28. =2017=11 : 00AM'No, 1991 <br />