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04/15/2014 13:OG FAX 3106154 IRj001/001 <br /> I <br /> DATE MCEIVFD EHD LOG NUM9ER <br /> SAN JOAQUIN COUNTY <br /> REM: ED ENVIRONMENTAL HEALTH DEPARTMENT ye <br /> 1869 East Hazelton Avenue,Stockton, CA 95205-5232 n <br /> APR 5 Wlephone; (209)468-3420 Fax: (209)4640138 Web:wwW.sjgev.org/ehd <br /> ENVIRONPAEN, A HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> 9� <br /> APPLICANT,rVE* <br /> BUSINESSIAGENCY:SJ ,h ADDRESS., CITYISTATEIZIP: tIL�1/19' ,� SAI I <br /> PHONE(1): f �✓ PHONE(2): FACSIMILE: - S <br /> TETMENTDATE: t([2 Its Tlme:business days Rom dot of�fon submittal-'Tentstive only-musf be conflrmaa) <br /> CHTE REOUEST-$126 FEE(CASH OR C CK ONLY)-REQUEST PROCESSED IN 3 6 SINSIGNATUT DATE II I <br /> Electronic lnfqatlon: ❑ List[]Map—Description: <br /> FILE ADDRESS EHD USE ONLY �q <br /> o n Street#; Street Name City Unit 1QF <br /> 1l 1. N M�tP M 0r� e <br /> J 2. iMeg to . <br /> 9 O T6 PJ —57 rnr�P t� s c0 <br /> 4, o fin' i nit a <br /> fi. ; ff �1 nit4 <br /> T. ' 1' •'Illi <br /> 8, _.�. Unit5 <br /> 9. <br /> 1 p, Unit e. <br /> Specific Date Rana Information Requested: Fromto <br /> �r ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Ay <br /> UNDERCROUNDT (UST)CLEANUP ❑MEDICALWAs'teFAaury SCUD WASTE FAcuffNEHICLE 21 �i)e <br /> 1OTHER CLEANUP, (NON•LOP) ❑HOUSute ABATEMENT WASTE TIRECP <br /> UNDER13ROUNIDI (MONrIMSGIREMOVAL) ❑FOOD FACILrrY DAIRY <br /> ABDYEGRDUND ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATERTREATMENT PLANT <br /> YHAIARDOUSWA E OUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUck1YAROICHENICN.To1LET' <br /> �TIr3tED PERN ACILI Y ❑PDOUSPA ❑LAND USE APPLICATION SM <br /> TATTOOBODYPIR LNG 7COMPUIINTIRESPONSEREDORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL ANDS PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM4:00PM(EXCLUDING HOLIDAYS) <br /> 1. Llst U t In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At a t one�file type MUST be selected. Fax to(1091464-0138 or mail to the address indicated above Address <br /> ranges will n. a accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will Processed the next business day. , <br /> 2, The EHD will ufythe applicant if any EHD(Iles exist An appointmentfor review will be confirmed approldmately ten(1t1) <br /> days after a t of application, The flies will be held for a maximum of five business days for review, Appointments <br /> should be ac� uled accordingly. Ff 17 /j, of d <br /> 3: Afile that tsNety being worked on by Cr,20,L VIe�J Ii5'( Cor 720 Hv4p,}!er- bI Por Au4C Toy 5 r A,-do Tale4 btrh <br /> submtttedw a the file Isavailable. <br /> 4T Ru./a <br /> 4. Airy file not t mad fn the same conditio X19 0 Tire>, shucks Auld Tiepa�1nlm-/+•E. Maras-}toll M05'IU'}�d11 <br /> Future file to 1 by the same applicant Karafho,l Nlaskr loch, MaP(-)tr Tech, 0-41er T¢rh, Peer 5m.?eeA-kr-' <br /> ;,,? r:•,- a.;rc`•a=a"",t•' rn oil be lhrlcs LLC, 5pra,1-0,7 bzdl,ners of Ater Cal LLL sprny-en I ly,Frs <br /> YZ<i. ':;:'�„``-�tf:,�4a.i4.'I"`. a f <br /> '•t�' ' +�” .:_ '�;` Cen.fPr� r 11-Il1u(' 7761 T.tirt <br /> =�.���ri:w:a+� „-�eQ�,;r �_-{;c n•lr ��+ of sk+ckfcn, Te.cl,n is CC061.a�`I�-9 Far <br /> D'ShMlt%1 rpFS to is �in {'ravLLarO copy IP <br /> 0-430M 6 <br /> L_r f' J101r� x720 l�a./11Me,-r PrCVldlt( L.a-D OF -/JO Wo-01 dWL <br /> .. _ ..: —. • .. :. :. _. : . � L-i-� -11I Ho R,le., '1701 Tam o'slYirAut NW 11 Us l lnsfuAT-NQtf <br /> Received Time Apr. 15. 2014 1 : 16PM No. 5793 , 4a,�p1-7ZOAuninerr- LnVoGz-chagieol 1J �}��1 <br />