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01/21J/2017 13:15 4808304888 <br /> ATWELL LLC PAGE 02/02 <br /> E I Y E EHD LOG NUMBER <br /> .ATERECJli6 SAN COUNTY <br /> Z � ZOti B'� ENVIRONMENTAL HEALTH w ' <br /> DEPARTMENT pyy/vVy/w/ 7 <br /> EfilVTR�NI4 �ALFl- 1868 East Hazelton Avenue,Stockton.CA 95205-6232 <br /> a®phone:(209)468.3420 Fax: (209)464.0139 Web:www s190 <br /> PUBLIC RECORDS RELEASE APPLICATION L <br /> a t^ BUSINESS/AGENCY: <br /> APPLICANT: I CIIYISTATEIZIP: 11" <br /> ADDRESS: �- '� �" JL • Cd FAX OR E-MAIL: / "If �a f •%'Yo'''.roe^+ <br /> .SX 6' ar b a PHONE(2): <br /> PHONE(1): q10- <br /> Please allow 10 bDsiness days from date of appl'icstlon Submittal tort""records to be recordsa . <br /> staff*11 contact you to arrange an appOhmoent date and time to review the requested records <br /> ❑ <br /> ER $139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSEDDATE I`ES6 DAYS <br /> CHECK BOX rO EXPEDIT <br /> y-`Z-�-y"�- w by checking the appropriate <br /> SIGNATURE OF APPLICANT y Address <br /> 11 tit ue to tan addroasea in the apace below. Select the type(s)of cues Tro <br /> box(es). At least one file typo MUST b ons received after 009pu1 be pro <br /> cessted the next business day - <br /> ranges will not be accepted.App lease confect EHD at the number noted above. <br /> 2. For assistance In Identifying the nature and content of EHD records,ot for costareviewill be confirmed number <br /> noted above. <br /> ten (10) <br /> 3. The EHD will notify the plic tion. The <br /> EHD files exist. An app <br /> days after receipt of application. The flies will be held for a maximum of flue business days for review. AppoiMmeMs <br /> should be scheduled accordingly. Ck <br /> 4. Any file not returned in the same condition as fAlgasod will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. CLUDING HOLIDAYS) <br /> WELL AND SEPTIC PEROT RECORDS ARE AVAILABLE FOR REVIEW: MDNDAY FRIDAY 8-0D AM S;DOPM(EX <br /> Electronic Information: ❑ List❑Map-Description: to D f <br /> specif c Date Range of NOW'11811ior1 Requested: From <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> • <br /> FILES city <br /> Street q Street Nema D CQ,o.eR <br /> unoencs+Duxa 7A+n((�15'h <br /> cLEmuP RM(LOP) 11 �• G el �tr WQ ✓ C" �J^ 1`�l I <br /> 07H 1%CLV w 8R (NO L r�J �1L1..To G��'' Cl DNS' <br /> HASASP011E WAM 1 1 1 LjolY '1/.L{l� <br /> Teaea Pr MEI)FAMM, F. apl 4e e /E 1 \' <br /> ❑ AN <br /> UST (Marts mtr. <br /> IIAP ^ <br /> Hus MTEAS P J . <br /> ❑15Fw tELP s"ROPO"a" ./� 1 I `-1� 'n1�y/�� A (/ 441A, <br /> ,A 1 I ATP 4aPYlIr <br /> Ij 9MM WASTE FAClM I VEKML'- d If�� Vr AC,1;1A L4 VVI <br /> C. �D^ " /ll I{�11J) Vl <br /> p roan FACEM r`/ -I / L At Nn101RaK <br /> ❑U PoarSPA <br /> DAlar rj r\ 01 1 ce- t..�A IP��[ RJn <br /> J U c /� YLA <br /> W <br /> QLAraUSE APPL1fA SM 4� ❑ mRrtn <br /> So=Pal m TAVCA I �1 <br /> a j3aD s. A,ro ro L <br /> VARA 7 CMEnCAL 7DIlETS <br /> ❑wAaTEAU TKEA�%AAT W r M�K OUPA <br /> CJHonea ASN5 c It <br /> ❑mma"WEL <br /> 1'oIo W <br /> n CNRmt"I Das KWWL L `/� �/j• /• G11PA VST <br /> ICREP <br /> momr WASW FACllev 6 I( O J . �J J D rGl ✓ C <br /> TATTO"MT PMMA <br /> w"W TIRENo [3 sow WAE1E <br /> r7 cax Imr B �vforo. ' CA - 0AVAiln.��l11 <br /> p o-,-PLEASE 90.. l): !L ❑A <br /> • ID 1035 <br /> —DOKM AREA_EHRIist,OmLy-�"' <br /> L J - ' 7 -C'7 /M yr b4s lt\ 9:rr54�:v be -U' <br /> -i e <br /> ❑ Records provided by Staff-PPR Complete. Sro RAme: <br /> Received Time=Ju 1. 28. =2017=11 : 00ANFNo, 1991 <br />