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ILWON NV * ' H 9�R 'S[ 'jnr aWIj PaAlaoa� <br /> bRT64--g-IVED <br /> BAN JOAQUIN LOUR TY EHD LOG NUM81iik <br /> V,L 15 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,*Stockton,CA 95205-6232 <br /> _TH Telephone:(20 <br /> HEA,,,,9 )468.3420 Fax:(209)464-0138 Wab;www.sjgov,c-g/ehd <br /> JiL <br /> P,M t I EE E RS V1 C E PUBUIC RECORDS RELEASE APPLICATION <br /> i AP PLICANT- v "77= SLSIPESSLAGENCY: <br /> MW <br /> Gn <br /> Vf <br /> A10,01RESS: P: q�g-Z <br /> 440 Hill Si 5W+�_S CITYISTATEIZI <br /> PHONE PHONE — FAX OR "r-MAIL, <br /> (z): acanycoe Cousy I'14n-b. <br /> Please allow 10 business days from date of application suWftal for the reco ds to be available. <br /> Staff k ill contact you to arrange an appointment date and time to review the 'equested records. <br /> CHECK 60X -0 EXPEDITE REQUEST-$130 FE (CASH OR CHECK ONLY)-REQUEST PRO 3,ESSED IN 3 8USINESS DAYS <br /> I. �VIA12 <br /> SIGNATURE OF APPLI'ANT DATE -i I is I i <br /> I. List up to tan adds asses In the spa Lc below. Select thea tyrpe(z)of files frons the list belc to by checking the appropriate <br /> I <br /> box(es). At lent c ie file type MUST be selected. tp tbe;-1,ki Eg"1ndI5:i!ted above. Address <br /> ranges wilinot tae iccepted.Applk;atlons received after 3:00 pen will be processed the no d business day. <br /> 2.1 For assistance In I !entifying the nature and coritettt of 2HD racordg,please contact E10 it the number noted above. <br /> 3J The EHD will notIf, the applicant If any EHD files,exist. An appointment for review-1121 Ise confirmed approximatally ten (10. <br /> days after reralpt 4 application. The files will be hold for a maximum of five business Ela rs for reylew. Appolntrnents <br /> should be schedul td accordingly. <br /> 4.: Any file not return--d In tho same condition as released will be reorganiz.-d by P-1-113 staff';t the expense of the applicant. <br /> Future file, vle%�v, by the same e—licant may require a$130 deposit prior to review.41 r-F J -1 <br /> WELL AND SEPTIC F EMIT RECOPUS ARE ANAILABLE FOR R�ltrfl: MONDAY-FRIDAY 8:00 Al 1-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic InfOrnat on: El List [I Map-Dgsarlptlan: <br /> Speelfic Data Rangy e of Information Requested: From <br /> 5NVIRONMENTAI <br /> h1EALTH DEPARTIM!NT FILE ADDRESS D U 3 E 0 NL'It <br /> FILES <br /> Street"I Street Name city <br /> UNoERVROLINU TANK(UST) <br /> E3 CONS <br /> CLEANUP SITE(LOP) <br /> e�r!!ER ei:�Okl jWV VI;;;Wool t.�A AI, <br /> ,t2l pt, <br /> HAzARoOUS WASTE <br /> Ti2RED PFRwTTED FACILITY 2 Neal; Roaj <br /> i <br /> 3 C.N....11 <br /> movmRouNo TANK <br /> UST (MONITORING/krMON Q <br /> HAzAmous MATIERIALS <br /> t. <br /> SP)LLjRI;LEASE RESPONSE <br /> WATER QUALITY <br /> SOLIL,WAST9 FACILMO VV 1 4� 94 v <br /> Foob FACILITY ^uLCB ITCMITICATION <br /> n POOLISPACf <br /> DAIRY CS C-'It v��j PgI mav I <br /> LA-4r Usa APPLICATION SI L]HouUiNG <br /> scmr,PUMPER TRUCK I <br /> C <br /> YARD/CHEMICAL TOUTS <br /> YARO I]d IU� <br /> QUPA <br /> WAS-rCINATER'TREATMP'NT1 ANT IV <br /> Houf.INGADATEmENT 7 <br /> r1i MOTELIHOTEL NFCUPX_-q�il- <br /> C)4IcK9N RANCH/Dou KrI,(EL <br /> MEDICAL WASTE FACILITY <br /> TATTOCISObY PIERCING 111i.19k)o WASTE <br /> WAm T(re 9 <br /> CoMPLAINT [3 AccouImNG <br /> OTHER(PI-PASP SPECIFY)! <br /> L <br /> M«;3hXFb ARSA-P_HD USE aWyl" <br /> '-TVA 19A <br /> (A on, I GL <br /> Pi CCL k; <br /> I Sed by <br /> I r)o I nn j r,1 a 1 4 1 0 7 1 OI n7 /(--1 1-0— <br />