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I_■ --'�9� of 2013-11-12 02:46:32(GMT) 467 From: F -l VV li s yn <br /> e■ <br /> EIVED- <br /> SAN �IOAQUIK COUNTY EHD LOG�NUMBER Al W. . <br /> I■■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N0V 1'2 2013 18.8 East Hazelton Avenue, Stockton, CA-.952 2 <br /> Teteph+D.ne: (209)48.8-34.20:Fax:;(209):46..4.-0138.:VVeb:-w. .Ww:.sjgoV:org/shd `. <br /> ENVIRONMENTAL HEALTH : <br /> PERMIT/SERVicES - PUBUC RECORDS. RELEASE APPLICATION <br /> APPL(CANT< ,Pav bolos. : . ..... <br /> Pa i E :rr�ij> �ntal. a e�oelte,.. <br /> U .I..... S.S U C. ;. . .... <br /> ADRRESS:. : Q:QN. CLQ R e t e '##2 5- .:CJTYLSTAT tzip.::���raau�e��0�CA9.5-0.3 ; ......... <br /> E1 . . <br /> :PHO.N�j2): "- : FACSIMILE: <br /> PHO. O.: .. ,16,444--1. 5.4: ` <br /> Time: <br /> TE1VTf��l1/E AP:PQINTMEhIT:DA. :E:. j . <br /> (Please allow 10 busine$s.days from p. •^ :-r?PG atioa'submitta[. Tentative only-must be confirmed) <br /> . .tj CHEEFC:$OXTQEXREDITE" -IECK,QNLY)•.REQU..EST'-PRl3CESSEDIN 3:BUSINESS,DA,'lS \ <br /> IGNATIJR .QF:APPI.ICANT •_ 'y3`... -:�.j:-: .••..:. . . ... ` ".RATS. J�1.2� <br /> YtI <br /> EleCtronic..lnfo.imation*." List-0 WiO—De-s6ription: <br /> F.ILE.ADIDRES.S HPIQ$E ONLY <br /> E <br /> Street;#t Street Name. ;�Ciy nit 1 <br /> 620 Wiest Charter W ... : _.Stoc ton. . .. <br /> 2. <br /> :fir. a ... .aiu cr Jr. B vl . n IJ�it.2 <br /> .. . . <br /> 7777- Qff <br /> :3: :1:465' . ` :t caln`Street .. <br /> 4.. . 5:8:7. .... .Tk : - <br /> • irvlr�IP'' .-nit: <br /> :. �-5 <br /> 7..... <br /> . HnnM fmm <br /> Unit-6 <br /> $R4.oIf'c:Rate•Range of.Information..eg4ested. From to: <br /> `EN�f1RQNMENTAI,:kiEALTI i:flFZPARTMENT FILE$: . ` <br /> .®•UNDERGROl7NATgNK_(UST..� tEANUR:S[fE(L,QP). "'. Q:MEQICAL.YIIASTE,FACILITY ®SOLID WASTE FACILITI'NEHIGLE�-�'•. `�lI'�7 <br /> : .®.Q.THER CLFIINUP SIDE(NQN-LOP HQil5UJ4'AEA7EMENT ❑WASTE TIRE `�• <br /> ❑ . <br /> r� <br /> 11 DE <br /> RGROtfND TANK;(MONITORINGIREMQVAL� ❑FOQD.FACILtT _ ❑:i)AIi�Y I •(� <br /> ®ABOVEGR.QUNR TANK' ' ` " I�:CMICKEN RANCH!poG;} NNEL. : '`. ❑WASTWATER:tOATMENT PLAM <br /> :( HA Zp►tDQU.$:W..ASTEIHI�ZARD.OUSMA RIALS ❑MQTEL/�iljT L ❑,PU.M.PER.TRUBKIYARp(CHEMIC(aLTQILEIS: w� <br /> • <br /> TIERER PERMJTTED;FAG1LfTY- ... n❑.I AQLISpA. : 13 <br /> E]'.ANQ USE;p!PPL t ATiON$JTES <br /> ❑TAT700IBDDY,.P..IERCJNG 1 tPMPLAINTIRF RPNM,RECQRD.S: ATHER.(R1 EASES?.E�LQO.. <br /> FXI`WELL AND SEPTIC:PERMIT RECORDS AREAVAILAB,LE FOR.R.E.VIEVC MONDA..Y-FRIDAY:8.:00 AM-5;OOPM(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 leastonetile,typ.et MUST be.'sel'ected.Tax to(209)4640138 or*mail to the address indicated above. Address .. <br /> ranges.will notbe.acceoted-for additional assistance with file.addresses,contact the.EHD. Applications receiyed after ... <br /> 3:O;Q pm will t - <br /> -2: The.EHD will approximately ten(1.0). •..... - <br /> days after ret w,-Appointments ' <br /> should.bEscl� _ - h,. ,iyUq,5 oy�r1?.►rf11��� <br /> :. -3. A fife that is d- t - ew application max be <br /> s O P,c.J i s flw M o-M 0;-kh h 9 t A✓I <br /> submltted wt _ _]1 S W 21114 St. � <br /> 'Anyfile not r se of the applicant ,,:il� <br /> Future fife reviews Dy one,same applicant,may require a$125 deposit prior to review: *BOKES AfiEA-EHD liS ONLY P <br /> �:Reco,ds Provided by Staff-PPR Complete. su,:t <br /> 'ERD48-06 }jf.)� ;:P 1 lFZO ;'Ip/ it 91ar12 <br /> sr �+ <br /> Received Time Nov. 11. 2013 6:47PM No. 4497 zo~13 �o)3aa`fi6� s in + e for t4bG�c�n �It�>>��•� <br /> I--to-; . kTf a CO�'J! 61 - L4,5 -1 ,-t w f;-lam e., :k �3 <br />