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Feb.15. 2013 10:49PM Geocon No.0730 P. 1 <br />IMMDATE RECEIVED EHD LOG NUMBER <br />I■y, ,=�,a;s <br />PID SAN •JOAQUIN COUNTY <br />x ENVIRONMENTAL HEALTH DEPARTMENT <br />FEB 20.,E 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd <br />Ei .tli, ' E=N"'';EALT4-9 PUBLIC RECORDS RELEASE'APPLICATION <br />APPLICANT: yIAu,cl�� BUSINESS/AGENCY: rc)c" cmSu-HzIIA5 1c. <br />ADDRESS: 3((e0 GnL_ \\j a4(A_, r-,\pcbut fit _ <br />CITY/STATE/ZIP: � j` r L t) Cov DI�V� C T 5742- <br />PHONE (1): PHONE (2): Ifo -+-(. R-clsGq FACSIMILE: / W32 <br />TENTATIVE` APPOINTMENT DATE: /I/IA� 1, 20 Time: 4:a0 o- •A <br />(Please allow 10 business days from date of application submittal -"Tentative only • must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQ EST- 5125 EEE (CASHECK O)lILY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE <br />Electronic Information: E]- List ❑ Map - Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Unit 1 <br />Street # <br />Street Name <br />city <br />1. <br />)k <br />1 ;i). 1 Unit 2 <br />2. <br />3. <br />4. <br />5. <br />�1`1t tx�t <br />IlkCJ Unit 3 <br />i ! :. ►- <br />i ''' o-1 Unita <br />n1., <br />Unit 6 <br />6. <br />7. <br />/ 2( <br />7(,� <br />9. <br />ElUnit 6 <br />10. <br />Specific Date Range of Information Requested; From /I/ / ia(S0 to 4( r7( Lpr <br />�• ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />[P16INNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYNE ICLE <br />El HER CLFANUP SITE (NON-LOP)ElHOUSING ABATEMENT E]WASTE TIRE I fi e� to, <br />T MONITORINGIREMOVA1 %-/'. I-1 FnnnFAnil ITY n DAIRY <br />DERGROUND MNK( <br />OVEGROUND TANK IV, ( <br />I I-V /eA,,r_T <br />HAZARDOUS WASTEIRAZARDOUS MATERIALS 1071 7Yl �ctQ ; 6o� 3 7 � Z q FI 31 3 SD Q S, 35 O y(o, <br />F1 TIERED PERMITTED FACILITY <br />❑ TATTOOIBODY PIERCING 3 12 (49F 3 0U a5 3 y qoq,tl- <br />'' ll <br />WeLLAND SEPTIC PERMIT RECORDS APE AVAIL'aM1,20 '�•Lfifp3spZ 19 "S '1 A 7Y�. ��, <br />SQ <br />1. List up to an addresses in the space above. A ���, �(:3!53y <br />) <br />box(es). At least one file type MUST be sel(H <br />ranges will not be accepted - for additional a ( � r. by gS <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 revic <br />days after receipt of application. The files will be held for a maximum of five bv: <br />should be scheduled accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately avail <br />submitted when the file is available. <br />To view the HMMP (Hazardous <br />Materials Management Plan) go to the <br />following website: www.sjoesdata.org <br />4. Any file not returned in the same condition as released w911 be reorganized by EHLj *wig ai ulu �xr�„�� aNN�.�P•.� <br />Future file reviews by�lle same applicant may require a $125 deposit prior to review. "�B611?p'Ai?1=A"'J-kD 0S04y- <br />:n:._,..._ .. .�. .•.• ..�•�Li':: ':;:.1:=;- �•s.•�.. -j,�-"='si:�_.•.;�. w <br />D RecO,rda`pra..v.l.ded ey taff-PP oil plete.'steffNen,e- <br />Received Time Feb. 15. 2013 10:47AM No.2 3 N-13. dtiGlt,;tXA'Qt4 <br />1� M M f” i=i l C� = IGI G 7r •f� �'y ! � t l Z�.t"I l y i' >i � a'� ii �-1�1Gi.i,(�cf,�, ��Cl �r�1.ta <br />Tile <br />�Iu <br />; UZI az1uii llYi=J/_, <br />