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07/28/2017 13:15 4808304888 ATIAELL LLC PAGE 02/02 <br />CE IV E <br />SAN JaActulN COUNTY DATE RECE D! �i�"I�° ' '�/� <br />��� � i� � v" ENVIRONMENTAL HEALTH DEPARTMi=NY <br />Stockton, CA 95266-6232 <br />1868 Eest Hazelton Avenue, s ov.org(ehd <br />��!!tMe <br />EAL®phone: (209) 46&3420 Fax: (209) 464-0139 W®b: www- 19 <br />p E lT Rs1I'.�E pUgLIC RECORDS RELEASE APPLICATION <br />EHD LOG NUMBER <br />/L <br />BU31NEgSlA -E't! S a1D <br />CITYlSTATEIZIP: f�tA <br />APPLICANT: l v L . <br />ADDRESS: 0 pHON>n (2): d 7' �/3 ' ion FAX OR E-MAIL: <br />PHONE (1): g90 - date of r�cetlan subrrdtta) for the records to be av�llable. <br />Please allow 10 i ttsiness days from OR t date and time to review the requested records. <br />Staff will contact you to arrange an appoi�ien <br />XPEDt R E ^3139 FEE (CASH OR CHECK ONLY) - RFC)UEST PROCESSEDDATE I BUSINESS �� ryY— -- <br />[] CHECK E30X 70 E �._.- - n mate <br />checking the app P <br />SIGNATURE OF APPLICANT e s of files from the Hat below d b 9 v . Address <br />ace below. Select th otyp () 3 0 0 <br />a t as -? <br />In the MUST be selected- a <br />box(es). At Iea9t on®file type Applications received after 3:00 pm will b® proceaged the nerd business day. <br />ranges will not be accepted. App lease contact EHD at the number noted abova. <br />ointment for reel®w w>II be confirmed approximately ten (110, <br />2. For assistan*-e In identifying the nature and content <br />exist EA n PPo�gl p for review. Appointments <br />iicant If any <br />g• The EHD will notify the apP applicant - <br />should <br />after receipt of application. The fll®s will be held for a maximum of fiv®busines6 a expanse of the app <br />anized by EHD staff at the azpe <br />Should be scheduled accordinglyreleased will be rtion aslor to review• <br />4. Any file not returned in the same colicant may require a $139 deposit p CLtlD1NG HOLIDAYS) <br />Future file reviews by the same app MOWDAY-FRIDAY 8:QD AW5:De� <br />WELL. AND SEPTIC PERWT RECORDS ARE AVAILABLE FOR REVIM. <br />tion• -- <br />El9C�c Information: I <br />Specific Date Range of Infl <br />ENVIRONM>ENT'AL <br />HEALTH DEPALC <br />RTMENT <br />fflUNMRGRmmu TANK(LMT) <br />CLEANUP &M (LISP) <br />foTNER CLEANt p SITE (N—L <br />vOLZAROWSWAVE <br />Q TirftD PERMUTED FACILITY <br />eo++Eo> Wn TArK <br />WST (MOWTCRMG1 t�MOM) <br />f-1 MAZkIM00 MATEMLS <br />L❑� Ep&jF1EL;AffE RL�B£ ' <br />13 SOLID WASTE FNCH.lTY I Vgwr- !O <br />❑ FooD FAC"TY " <br />❑ Pox I s�A <br />'DAIRY <br />Q L^"o USE AAOUCA- sates <br />n SEPTIC PLWKR TRUCK I <br />YARD i C"EIIM AL TDILIM <br />WAEjs%"TEA TREATM"T PLANT <br />QHmsmuAeATEMElr' Wo <br />MOTELnioTCL <br />CHICKEN R*RC141 poo 1(KWEL <br />❑ MEDICAL WAisw FActLIT <br />TATTOCMmy PtEl INQ <br />❑ WAsTE TKtL NO <br />CipIApV,IMT / <br />�] OTHan(PLeAeE B�c�l: <br />List [] Map -- Liescl >p <br />wow Requested- Fri <br />3 1P, Gia �« Qc' <br />�J!Ori/`�' , <br />to <br />EMD USE ONLY <br />71 <br />6hoc.4�tkV%i%YL, <br />, <br />,S3tLk ^ <br />FILE ADDRESS <br />Street 4 <br />J LL� <br />hr,kTD <br />Street Name <br />I )�1 <br />C1aj 4C f- t�a <br />115 <br />C <br />ao, Oce Jot <br />C, <br />3 1P, Gia �« Qc' <br />�J!Ori/`�' , <br />to <br />EMD USE ONLY <br />71 <br />6hoc.4�tkV%i%YL, <br />, <br />,S3tLk ^ <br />IA °" <br />— `r��AV1�� bih <br />J LL� <br />hr,kTD <br />C AA� <br />C <br />C, <br />1710 roll <br />cora <br />154M AREA - EHkffa I r - <br />11 ❑ Records provided by Staff -PPR Complete. srnff mme: <br />Received Time=Jul, 28.=2017=11;00ATNo, 1991' <br />M <br />O WARY <br />win away <br />D��l <br />M Mmaotm <br />ax <br />N�qCA <br />j'yV <br />CLIDA - Us T <br />SOLID WASTP <br />VimDA <br />