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------------------- ------------------------------- ------------------------------- ------ ----------- 111"'!08/2 /2013 --------.111"'!08/2(f/2013 14:04 FAX 916372256 WALLACE-KUHL AND ASSOC. IM 001 f H EO D LG NUMBER Ir gtrENED SAN JOAQUIN COUNTY HEALTH DEPARTM ENVIRONMENTAL .,. ,� 1 {• AUG 2 0 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6 2 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov_ erg/ehd R t M�S MnG TM PUBLIC RECORDS RELEASE APPLICATION APPLICANT: BUSINESS/AGENCY: J_j ►. am a �11,p�rcJ- ._. -- � �u -�.�hl �l�csoc ADDRESS: CITYISTATE/ZIP: Wss�— rrn„�nFo r.4�4 Rc1d7 PHONE(1): C)lt,- 3-p- igz,4 PHONE(2): FACSIM ILE: q1t, zsuss TENTATIVE*APPOINTMENT DATE: Tiw-re: (Please allow 10 business days from date of appiication submittal-`Tentative only-must be confirmed) ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT DATE 13 Electronic Information: ❑ List❑ Map—Description: FILE ADDRESS EHD USE ONLY Street# Street Name City ❑Unit l(r 1. ASS No : 2. ) J ❑Unit 2 3- 4, dUnit 3 6. ;El Unit 7. 8. D Unit 5 9. e' 10. Q Unit 6 Specific Date Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY 6ZI S(LID WASTE FACILITYIVEHICLE (OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DA_IRY 3 r D ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTEUHOTEL ❑Pts MPER TRUCK/YARD/CHEMICAL TOILETS TIERED PERMITTED FACILITY ❑POOLISPA ❑LA.ND USE APPLICATION SITES ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OT-HER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5 =OOPM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be cv nfirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days'War review. Appointments should be scheduled accordingly. 3. Afile that is actively being worked on by EHD staff may not be immediately available for review. Anew application maybe submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by END staff at tje exEense of thea �licant. Future file reviews by the same applicant may require a$125 deposit prior to review. ltl , � •.` -� i,iF� '•. r✓., - ar -�c - I!� R:ErJ��' n�,_�g it t Fu @ 3r , .E_., - , _ t ,;,� rt., i tiE.' •!' o�px��.. uox iai.a•u:cc- 'A:.t .:.�..�t� .}t!i at rlk .:.X ....w rfu•.:, :! ,�'il.�1Ei ,. I�,� �.._:. .:1 .»�.�� 5M'i�:..-•.:E3e a kL'._:r 'Ei ;,SIE:!' :y- G :" r..c.±r' (•'.L��' •� '�.inui'rE 4✓::'1Ri. di,NEnfiq�i;;IFtS n r r. .7�! mn:'..' - F. F ti .. }�.. i!. -_...a i - ., rct' ., .._ nc•- i e.. ��'_'_'•'...r". r m,ul _,7! � i ,a:• i' _, :, »•--u, c':_. 'I rl c _.V:_��j {fin' lypt5 itll��t! h7H��'em R:., Y!�.�-c -.tun--•t_ EHD 48.06 ,:�.^� !�•• .tr:-�. i� I s�d..l rP• �. .1. 9!4M2 Received Time Aug. 20. 2013 2: 18PM No, 3885