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Oct 13 2014 9:5GAM <br />IN <br />No <br />DATE REGEIYED <br />Has4^s Environmental, Inc 510""149098 <br />SAN JOAOUIN COUNTY <br />OCT :19 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />E,NVIRONtOIENTAt-TeW"brie: (209) 468-3420 Fax: (208) 484-0138 Web: www.sjgov,org/ehd <br />oc:01 RAWISERVICES <br />P.1 <br />EHD LOO NUMBER <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: SAµ L pN 6q T DUSINESWAGENCY: gAStLS &J• IN G . <br />ADDRESS: 6 SS 1 Z c'rR-iser, Su rre 1,2 6 CITY/ETATE/ZIP:0 AJc�A.,Jh c '1t1tC>'4 <br />PHONE (1): PHONE (2): I=ACSIMILE: (gld $jl,( -, 08 <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 />❑ CHECK BOX TO EXPEDITE$130 F (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANTREQU - - DATE 1101111 t y <br />Electronic Information: ❑ List ❑ Map — Deacriptlon: <br />FILE ADDRESS <br />F_HD USE ONLY <br />�� unit 1 <br />Street 4 <br />Street Nrne City <br />I . <br />-7 11 <br />S TN S r - EE 1 %r <br />NO <br />n x <br />2. <br />'7 1�Mn3 <br />3. <br />S rnnn - a u'l�r <br />4. <br />unh 4 <br />6. <br />;. <br />7. <br />`j» r <br />unit 5 <br />0. <br />Ef Unit e <br />10' <br />Specific Dat* Range of Information Requeated: From to / <br />ENVIRONMENF11U <br />HEALTH DEPARTMENT FILES <br />DERGROUND TANK (UST) CLEANUP SITE (LOP) ICAL WASTE FACILITY OLIO WASTE FACILITYIVEHICLE <br />HER CLEANUP S1TE (NON -LOP) ��[[[SINO ABATEMENT WASTE TIRE (4 <br />09NDERGROUND <br />TANK (MONITORIWIRIEMOVAL6 � [FOOD FACILITY IRY `�I' ID 1 -7-I LI <br />TANK -� ❑ CHICKEN RANCH/ DOG KENNEL ?PL <br />ASTEWATERTREATMENT PLANT DOUS WASTEMAIARDOUS MATERIALS ❑ MOTELIHOTEL NPER TRUCKIYARDICKENICAL TOILETS <br />PMRNItTBD FACILITY ,� VC OOLI8PA [LAND 118E APPLICATION SITES <br />0113ODY PIERCING oMPLAINTIRE3PONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL ANO SEPMC PERMIT RECOltos ARE AVAILABLE FOR REyiEw: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS <br />I. List ua to ton addresses In the space above. Select the type(a) at idea from the flat above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (21DO 454-0139 or mall to the add rove Indicated above. Addreea <br />ranges will not be accepted. Applications received atter 3:00 pm will be procesasd the next buslnsss dwy. <br />2. For asaietenoe In Identifying the nature and content of EHD rsoorda, please contaot EHD at the number noted above. <br />3. The EHD will notify the applicant If any EHD files exiat, An appointment for review will be oonflrmed approximately ton (10) <br />days after receipt of application. The files will be hold for a maximum of five business days for review. Appointments <br />should be scheduled accordingly, <br />4. Any fila not returned In the same condition an released will be reorganized by EHD staff at the expense of the applicant. <br />Future filo reviews by the same spplica rt may require a $130 deposit prior to review, '""BOXED AREA - EHD USE ONLY"" <br />Received Time Oct. 13. 2014 9:54AM No.7314 <br />