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KbULIVEcu No. 0410 P. 1/1 <br /> DATE RECEIVED /I..t(,� EHD LOG NUMBER <br /> AU6 0 1 201� I"�" SAN.IOAQUIN000NTY <br /> g--L ENVIRONMENTAL HEALTH DEPARTMENT <br /> VNVfIRONM111` HEALTHTelephone: <br /> p 1: (2 East Hazelton Avenue, Stockton, CA b:www.sigoy.org/ehd &435 <br /> Tele hone: (208)489-3420 Fax: (200)484-0138 Web:www.sjgov.org/end <br /> • PE mi-rrsERviGES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: v BUSINESS/AGENCY: FgAS /r,AiArori me <br /> ADDRESS: 15-3:S a �re.t AA- �'! CITY/ISTATE/ZIP: y.�/p,,,,,v�,( (`„� �f Lib—i-f I. <br /> PHONE(1): ,S to-, l47-188S-'Zb O0 PHONE(2): °l�S'MO^'dgi tD FAX OR E-MAIL: a reW� p lAaf, 6�T <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> HECK e0X TO EXPEDITE REQUEST- 0 F (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE fR-1-1'7 <br /> 1. List up to ten addresses in the sp ce below. Selectthe types)of riles from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. rax to 1209)464.0136 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files ExlsL An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4, Any file 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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:o0PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> tUNDERGROUND TANK(UST) Street# Street Name City <br /> LFANUP SITE(LOP) <br /> OTREA CLEANUP SRIF(NOWLOP) /Olml A�,tn <br /> HAZARDOUS WASTE Vl/ <br /> TIERED PERMITTEO FACIOTY <br /> I4t ABOvfOROUNO TANK n !) G <br /> UST (MONITORING!REMOVAL) g (( <br /> ATARDOUB MATENALB � t,JS`iv1Phy 1� <br /> SPILURELEASE RESPONSE <br /> OUO WASTE FACILITY/VEHICLE (91-1 <br /> A 'l`ql //'� W W IK- <br /> FOODFAvor <br /> POOL!SPA �/�•/I�ryE/M�)ITY+TrICY <br /> ❑DAIRY E IO �4.L t� W 'J"O+ v ' ` 1 I / I V�-.' <br /> �'fAND USE APPLICATION$ITER <br /> rE]SEPnc PAMPER TRUCK I a� 3�Q,tv�, ❑MOUBINO <br /> YARD/CHEMICAL TOILETS <br /> 136/7 <br /> WASTEWATER TREATMENT PUNT 1 , ,r UPA <br /> HOUSING ABATEMENT 9 v.`J/+�� <br /> [-IMOTELIHOTEL <br /> ❑CHICKEN RANCH!DOG KENNEL SP61JFA-UST <br /> E]MEDICAI.WA8TE FACILITY ° <br /> El TATTOWaODY PIERCING <br /> 5000 WASTE <br /> XWASTETIRE <br /> e <br /> ,KGOMPLAINT <br /> ❑OTHER(PLEABE SPECIFY): APAVMUNG <br /> 1D <br /> .PDXED AREA-EHD USE ONLY"' 6 <br /> `Tpi P¢Cew Al,%C aIn` ^ 0 'N+ e-zz <br /> U Records provided by Staff-PPR Complete. Staff Nam-: <br /> Received Time Aug, 1, 2017 2: 59PM No. 2016 <br />