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�r <br />ic 11 12 06:01p Lee & Pierce, Inc. 20984882474 <br />�ATER�aC V�E'D SAN JOAQUIN COUNTY <br />e'D ENVIRONMENTAL HEALTH DEPARTMENT <br />-� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />lephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orglehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />P.1 <br />- <br />APPLIC�MT: �JD1^� ��BUSINESSIAGENCY: Lee-}' ��`� L,�. <br />ADDRESS: `3�Li S, �uS�tr �ye� Sc..{ e /41 CITYISTATE/ZIP: Cr I�Gc-_-Ve_ <br />PHONE (1): 2..0 '6125 S;�70 PHONE (2): '21 FACSIMILE: 2c <br />TENTATIVE' APPOINTMENT DATE: 4_51k> Time: <br />(Please allDw 1O business days from dale of application submittal-"Tentafive only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $125 FE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSI ES DAYS <br />SIGNATURE OF APPLICANT DATE 1t 1 ( Z <br />Electronic Information: ❑ List ❑ Map —Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Unit 1 <br />Street # <br />Street Name <br />City <br />%c oo - <br />f� N�-� <br />Aj <br />' <br />Unit 2 <br />2. <br />1'5-33-2- <br />�✓1 �+4 a <br />do <br />4. <br />N LI `T <br />LTV�C� <br />t== <br />�❑d <br />�J pI AM <br />I71 Unit 3 <br />5. <br />(7 <br />CCII`O__ <br />Unit d <br />s. <br />l <br />01-1 feAl•� JV . F. F. (�� <br />7-'?ot�A <br />5-2o <br />u%C-.J <br />ti <br />CIL <br />;?� <br />To view the HMMP (Hazardous <br />❑ Unit 5 <br />El Unit s <br />s. <br />9. <br />1e• <br />Specific Date Range of Information Requested: From Materials Management Plan) go to the <br />ENVIRONMENTAL HEALTH DEPT following website: www.sjoesdata.org <br />jIAi3OVEGRCuNO, <br />NDERGROUND TANK (UST) CLEANUP SITE (LOP) F-1MEDICALWASTE FAC :HICLE J <br />THER CLEANUP SITE (NON -LOP) El HOUSING ABATEMENT ) �j l for <br />NDERGROUND TANK (MONITORINGIREMDVAL)� ❑ FOOD FACILITY �] DAIRY ( 17--Zgq_1 <br />< ❑TANK C.CHICKENRANCHIDOGKENNEL WASTEWATER TREATMENT PLANTAZARDOUS WASTEIHAZARDOUs MATERIALS,4 0 MOTELIHOTEL ElPUMPER TRUCKIYARDICHEMICALTOILETS <br />IERED PERMITTED FACILITY D -POOLISPA E] LAND USE APPLICATION SITES <br />ATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209)464-0138 or mail to the address indicated above. Address <br />ranges will not be accepted - for additional assistance with file addresses, contact the EFID. Applications received after <br />3:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file is available. <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 $125 deposit prior to review. ***BOXED AREA- EHD USE, ONLY <br />MF� 0 MW7. I WA F, Aff WAS '19 =1 M a- W, <br />"J. el <br />Received Time Dec. 11, 20e2PM No. 835 <br />.W <br />