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• EHD LDC NUMBER <br /> Dp, �v SAN JOAQUIN COUNTY <br /> 5 20'13 ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 1868 East Hazelton Avenue, Stockton, CA 95205.6232 <br /> TeWp ode: (209) 468-342!1 Fax: (209 w <br /> ) 464-0138 Web: ww .s19OV.orgiehu <br /> EtdVP Gf�VI t <br /> PUBLICRECORDSRELEASE APPLICATION <br /> APPLICANT:M / �S SK �f 1A-( /'s 11 13USINESSIAGENCY: C' t <br /> ADDRESS: s3SL1 � OSeQ iv S� �11�n^T ��� CITYISTATEIZIP: Y,CI1yqicH <br /> PHONE ',): PHONe121: �A stMILE:� 398 <br /> TENTATIVE*APPOINTMENT DATE: �11 °^vTOO Time: <br /> a <br /> (Please allow"C business days h-emda of 4p luon suixrrittal-' ft"llve only•must De confirmed} <br /> CHECK BOX TO EXPEDITE REQUEST-St 25 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE <br /> Electronic Information: 0 List 0 Map– Description: <br /> FILE ADDRESS EHD uSE ONLY <br /> Street# street Name Oity UrF fn <br /> Unit <br /> 2. <br /> a. S7 5(o a( S Al rrr 5 <br /> --`---- ----...------- Unit 4 <br /> To view the HMMP (Hazardous <br /> 7. Materials Management Plan) go to the units <br /> 8. — <br /> following website:www.sjoesdata.org <br /> 9. I 'A, An 6 <br /> 40. <br /> Specific Date Range of information Requested: Fra-ac t�' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOtDtVASTEFAciLLIT/yNEHI/C�iE z <br /> UNDFRGROLTlDTA,N.K(UST)CLEANUP SITE(LDP) ❑4iLEA'CALd'IASTE FACILRY ASTE TIRE CI/I/�S /f// r�"�. <br /> OTHER CLEANUP SITE(NON-LOP) ❑HoustNG ABATEMENT <br /> FOOD FACILITY ❑DAIRY / 3- �'l3 <br /> LA13OVEGRwNDTANK <br /> CHICKEN RANCNI DOG KENNEL 9WASTEWATERTREATMENT PLANT <br /> OL. - PUM2E.RTRUCOARDICHEMICALTOI!MS <br /> A2DOUS WASTFJHAZ4RD0US MATERIALS Ps E0oolA 0 LAND USE APPLICATION Sir Es <br /> ED PERMITTED FACILITY <br /> Q C3R <br /> COMPCAIKTIRESPONSE RECORDs ❑OCHER(PLEASE SPECIFY) <br /> TATT001300Y PIERCING <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> f. List up to ten addresses in the space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(20g1 464-"38 or on <br /> to tfie addresr steed above. Address <br /> ranges will rat he a cepted-far additional assistance with file addresses,contact the EHD. Applications receivod after <br /> 3:00 pm will be processed the next business day. ten <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed approxi in orients t"Or <br /> days after receipt of application. The files will be held for a maximum of five business days for review. App <br /> should be scheduled.accardingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. Anew application may be <br /> submitted when the file is available. <br /> 4. Any fit&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$,J25 deposit gNor to review. ::,_'> 3 1'A <br /> r <br /> Y" <br /> Em4"S <br /> Received Time Feb. 15, 2013 11 :50AM No: 2326 <br />