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Tar^!q Reg ` e � 2016-11-0217:16:10(GMT) 13122772907 From: Chris Rishwain <br /> DATE-REQeJVED - EHD LOG NUMBER <br /> NOV 0 2 2016 SAN do14c�ulm COUNTY <br /> ENVIRONMENTAL ue,Stoc D,CAEI4AEN� <br /> 1 n, <br /> 1868 East Haxeiicn Avenue;Stockton,CA 55205 6232 <br /> Elft r.Of4f hrf4l FfEALTFI Telephone: {249)468.3h2Q FOX;(209)464-0138 Web;www.sjgov.org1and <br /> • i EMIT1SEf?JF.E$ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: - iSM BUSiNESS1AC(ENCY: <br /> ADDRESS: CITYI8TATEx,'ZIP S Foo aCfc7L 11 a qjj <br /> PHONE(1): ?'7 � Vii¢f 7 3 Z v PHONE(2); _ FAQ OR E-Miall; C i7 is�liallr ��rrig f:Lt1 <br /> Please SHOW'businerse days from date of application submittal for the records to be a aiiabl+ <br /> Staff will contact you to arrange an appWatertmW tirde review the requested.records. <br /> CHECK BOX TO EXP RITEE REQUEST $139F81=>.(CP.SH.ORGt#EC,•Cflh!LY). REQUESTF C=_a,:ECIN36USINESSDAYS <br /> SIGNATURE OF APPLICANT �`�, - —? DATE <br /> 1. Lister to ten addresses In the space:below. Select the type(s)of#lies from the list 461614 by ctrecicirtg the appropriate. <br /> box(ea)• At least one file type MUST be selected.Fax to(209)464.0138 or mail fo the address indicated above Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be-processed the next business day- <br /> 2. For assistance in Identifying the nature and content of EHD'records,please contactEHD at the number noted above. <br /> 3. The EHD will notify the applicant If any,EHD files exist. An.appointment for review will be confirmed approximately ten(1o) <br /> daysafter receipt of application. The flies will be fora maximum.of five business days fitr review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the:same condition as released will be reorganised by EHD staff a#the expense:of the applicant <br /> Future Hte revie"by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVI I ffWfDN0RMVW0pM JO(CLUDING HOLIDAYS) <br /> Electronic information; ©.List[] Map—Description; <br /> Specific Date Range of InformatlQn Requested , xt;es z �5 { <br /> EN- IRONMENTAL EHD USE <br /> q� ' <br /> HEALTH LESRT EMIT FILE ADDRESS i i6, 4JSE ONLY <br /> uNOE4_RoamTAN✓.(u5T). street d Street Name - r I.� cittyj <br /> • CL.A.N.r+SrM(LOP)' ��-Vf S^ Cnna�wn'•.'1/I0 <br /> �OT McL wuP;AF040NAOP) <br /> HAJR?Ells WAnE A V.. _ <br /> ®TIEPEO PERAA'T�'}FP{`Ue,liY Z 1���(-^�.Fq��• 4 F INi <br /> �Asovci,RaUVRTAyx V it <br /> OUST IMaNaaRlHciaFMWA s w7C �' tJz : il sc1�t '1 <br /> t✓t P'# <br /> �HA1APo0UseAAtEix,•,is � ' <br /> . 6MLURELER P RES P]NSE, n `�' .� •.•�.:I. <br /> �SO`JO:WASE�AGitiX(VE 1--LE <br /> 4 <br /> q�Foco PA Urs <br /> ACI POOL I SPR . .. - .,. S'IE MIMaWv: <br /> 0 DAIRY 4 <br /> 23LAuousE APPLIFATIok SRES " <br /> 4 <br /> 7ARp/GR€Fpciu TcMt�is <br /> g,VJAMEWATM TAEATMW PLA^(T .. ... _. __. . : <br /> �Housee+v.A�.rEI. Ni r - ...c• . <br /> .�MOTEUHPiEi -- <br /> CWmatt.RWHYDOGX 1NE1 _. <br /> Mmm WASR:FAc Lir E <br /> TFTT00f8ppY F16Y-ING . <br /> WAsi-TIRE SourJJ9sE- <br /> 4 ' <br /> C011P_.c!;T <br /> �Oi�S?{PLE Pr_-CIFy l <br /> •�P.tup vV 4'> ,+. _. ... . .... flnxourmw-. <br /> Cai•I-� `. low#0.i ° - . .:_ . ... . -. - .. <br /> D Records provided by Staff•PPR complete.sfae Naau: <br /> Ecco 4sos <br /> Received Time Nov. 2, 2016 10: 13AM No. 0270 <br />