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L� Feb. 15. 2013 10:49PM Geocon No. 0130 P. 1 <br /> lr DATE RECEIVED EHD LOG NUMBER 1 <br /> ■ a (� A �°� SAN JOAQUIN COUNTY <br /> f ' `' �4 "" ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 15 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONME I Li ALTH PUBLIC RECORDS RELEASE-APPLICATION <br /> APPLICANT: w&44-t,t `T-1dwr.1A BUSINESSIAGIENCY: (��y � ( nr•�S bac . <br /> ADDRESS: 31(e0 r,�,nvc Scttbe, CITY/STATE/ZIP: t�,4rj ) t ovolelfYA � / � 95742 <br /> PHONE(1): PHONE (2): FACSIMILE: ! - -`I32-• <br /> TENTATIVE'APPOINTMENT DATE: / oalbmlyTime: 4.,Od o-A <br /> (Please allow 10 business days from dab tust <br /> be conflnnad) <br /> ❑ CHECK BOX TO EXPEDITE REQ EST-3125 FEE(CASH(R CHECK O LY)-REQUEST PR005SSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑'List❑ Map—Description: <br /> FILE ADDRESS EHD USP ONLY <br /> Street# Street Name CityUnit 1 <br /> 1. Il Id k3 C04'j <br /> N , <br /> 2, n unit 2 <br /> 3. JVlilk <br /> 4. QO u/t \ ,3 Unit 3 2�� <br /> lit i�111 <br /> 5. �'�iEl <br /> g, / 2( ( V _ l Uhit4 <br /> 8. Od I i Unit6 <br /> 9. <br /> 10. Units <br /> SpeciflU Date Ranga of Information Requested: From / i /`ISO to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ^UNDERGROUND TANK(UST)CLEANUP SITE(LOP) []MEDICAL WASTE FACILITY ❑SOLID WASTE FACII� NE ICLE <br /> U^d�v�Ori?CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRO_f fi'e-' � <br /> �DERGROUND TANK(MONITORINGIREMOVALV, nFnnn FACII ITY I—I DAIRY 3�Ili <br /> 9BOVEGROUND TANK ��' ���I(71'-�I �,r,10� (�/17P�(N�fSLI/Y'e i/lam )'{j/� /e ��• <br /> MHAZARDOUSWASTEIHAZARDOUS MATERIALS )OZI=4rIRA/"�'� /�� � ��� Baa 815, sspU5, 3547 C/bt <br /> ❑TIERED PERMITTED FACILITY Q �j 5 0 tf• <br /> ❑TATTODIBODY PIERCING <br /> ��nIWWA6SWELLAND SEPTIC PERMIT RECORDS ARE AVAIL � 9 . <br /> Tlo n AnIl OV, rnr>/Y �-lr1r 1 <br /> i. List up to ten addresses in the space abm( of Ilno F <br /> ove, DOD5 3 535 )ryas r� <br /> box(es). At least one file type MUST be sele(.�i� (1 c ��n r c rnMdJ 1 # ?mtS571�.miSlo(o) <br /> ranges will not be accepted-for additional a- for �4 Zo hJr a5A- T- <br /> 3:00 pm will be processed the next business <br /> 2- The EHD will notify the applicant if any EHD files exist. An appointment for reel To view the HMMP (Hazardous <br /> days after receipt of application. The files will be held for a maximum of five buMaterials Management Plan)go to the <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avaollowing website:www.sjoesdata.org <br /> submitted when the file is available. <br /> 4. Anyflle not returned in the same condition as released will be reorganized by El'awu ui uro c Pmiac wpp•_a• <br /> Future file reviews by a same applicant may require a$125 deposit pribr to review. BQ{tl?p AREA;yEHD USE d�tLIf <br /> ..: <br /> yr <br /> Q liecQfd3''priiirhltid tiY: ff-RP :: of jplefe.;StaffNatne , r:`, a' '; ' ;:> :': ': . . . :':: <br /> Received Time Feb. 15• 2013 10:47AM No. 2 3 4-13` fuv;de Gi/1Gvtt+f l ► =' J <br /> NMA�IFf11Py lOIG�F 1��Yii ze1vr-1-_ W, AAGticlef aJ,�rvo �l�tu ( ,�Iczfa,id�;�ri�tlZ, <br />