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Feb. 15. 2013 10:49PM Geocon No. 0730 P. 1 <br /> DATE RECEIVED` _ <br /> G; SAN JOAQUIN OUNTY EHD LOG NUMBER <br /> EEI <br /> •VIRO MENTAL HEALTH DEPARTMENT 1 <br /> FEB 15 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 n �� <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVI0,0IMENTPI.HEALlH <br /> oF�(nIT,4r-RVIO=s PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Al.) :ndgAYcii. BUSINESS/AGENCY: 6;q'Y•/m CD,Icdld+a,45. 7,r <br /> ADDRESS: 3i(,O C&1,\taws; J2�,r\\1c S' LLtte M CITY/STATEIZIP: lil Ca -^ 1.. <br /> rden rC f 9574 <br /> PHONE(1): dila g52-ri/! PHONE(2): �!d -�( (R-<{?(at{ FACSIMILE: q/U- -Y/3 2. <br /> TENTATIVE`APPOINTMENTDATE: Wtyc4_[ ,2g12 Time: Q=00o-.A <br /> (Pieasa allow 10 business days from date of application submittal••Tentative only•must be confirmad) <br /> ❑ CHECK BOX TO EXPEDITE REQ EST-$125 FEE(CASH HECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-115-17611 <br /> Electronic Information. ❑'List❑ Map—Description: <br /> FILE ADDRESS EHo use ONLY <br /> \/ street Street Name City 0 Unit <br /> � V <br /> ;. 11 p <br /> lbio 'PA <br /> 173 unit 2 <br /> 4. QO \ Unita yx� <br /> LAO <br /> 6. 1611 IkU\9 . unna <br /> 7. 760 11N'1 <br /> 8. 0(.d�1�7•l;l � Unita <br /> 9. <br /> 10. ❑units <br /> Specific Date Range of Information Requested; From / r 1`950 to 2-4502-4/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILFs,NEFF��CCLE <br /> [1�HM CLEANUP SITE(NON-LOP) El HOUSING ABATEMENT IL]WASTE TIRE 19 f,le <br /> DERGROUND TANK(MONnORINGIREMOVAL)� i—I Fnnn FArltry 1-1 DAIRY <br /> OVEGROUNDTANK �-' ° �II OIOx vl(� CO//' p)o7 ,Otsan-P_ i/l am )�'(/� f 7�e A,, <br /> AZARDOUS WASTEIHAZAil MATERIALsV\ )OZI Z✓l i �'��� ; ��� las 815, 3SptJ s� 350yt�, <br /> ❑TIERED PERmil FACILITY AAIB <br /> ❑TATTOOIBODY PIERCING /nI Q 5, 3y q0q .t/• 'I•^ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAIL°CDl1i 1'� �i-t-f�Q�35a I�f I S i/l '7Y�-�'' j(-lF) •2 <br /> Wil) i,tQP ^Rosa I n/Gr�of-9�4E� rg��fpr (640lml� <br /> 1. List up to ten addresses in the space above, f,O 00353�5. Irypn Ili <br /> box(es). At least one file type MUST be sale(°�-D 1 , VJ-0 <br /> ranges will not be accepted-for additional a- <br /> 3:00 <br /> /, '?D4 2` h <br /> 3:00 pm will be processed the next business v r y-& <br /> 2. The EHD will notify the applicant if any Ell files exist. An appointment for revie To view the HMMP 11(Ha7ardous <br /> days after receipt of application. The files will be held for a maximum of five bus Materials Management Plan)go to the <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by Ell staff may not be immediately avail following website:www.sjoesdata.org <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EAI;aw,- rr•�.�•,^; <br /> Puture file reviews by)he same applicant may require a ll deposit prier to review. °"•Bol tp AREA,;EHD USE 0)ILv <br /> r 5 <br /> Il <br /> IWI <br /> V <br /> , <br /> lyr <br /> O RecOc si ro ;kded . -• : Name:= '' - <br /> Received Time Feb, 15. 2013 10:47AM No. 2-t <br /> 3`W 13t fvvld(' s1`+ l J <br /> HMM�r/ilcs lolv7cfll'y�S+l zz�'hvf r- a'1 A:�7-cn4N <br /> ct�rs�nat,�GEIt�tctus , tCzl r,cu � . K� <br />