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07/2B/2017 13:15 4608304888 ATWELL LLC PAGE 02/02 <br /> -- <br /> ECEIVE _ END LOG NUMBER <br /> SAH JOAQUIN COUNTY <br /> DAT€Rf=CE S201Vt' ENVIRONMENTAL HEALTH LECA 952056232 <br /> 1868 East Hazelton Avenue, Stockton, ov.orglehd <br /> �� i ephone.(249)4683420 Fax:(209)464-0'138 Web:WWW-sig <br /> APPLICATION <br /> PEI rrAsE e.-,E PUBLIC R�COFiQS DELI=ASS <br /> LLG <br /> BU51N1 SSIAGENCY: S ol0 <br /> APPLICANT: I C. e CITYISTATEIZIP: r1Ea <br /> �,. AJC • . cO.ni <br /> ADDRESS: PHON>n(2): d !O FAX OR E-MAIL: <br /> PHONE(1): q9C- b- c?!b for the retards to be avaNable• <br /> Please allow 10( siriess days from date of BRUC dl>t and irm to review tyle regwsted roc Sp <br /> Staff will comact Yet'to arrange an appointmen <br /> $135 PEI:(CASH OR CHECK ONLY)•REQUEST PROC GATE 1 '�gUS1NESS YS <br /> CHF-CK BOX 7o EXPEpITE Fi �_- ro rlate <br /> SIGNATURE OF APPLICANT e s cfliles from the Nat below by checktng ithe is -7--- <br /> 0.1-1 Address <br /> 1, st to ® a d g s In the space below. Selectthe typ { 3 0 <br /> usiness day <br /> t+ax(eg)• At least on®file type MUST be selected. <br /> ran es w111 not be accepted•Applications received after 3:00 pm will be a�"OontaC END at the number noted above. <br /> groximmely ten(10) <br /> EHD flies exist. An appointment for,view will be confirmedfor review, Appointments <br /> x. For assistance In identifyingctahet if any and content of EHD records, p <br /> 3. The EI4D will notify the app <br /> days after recelpt Of aWlcatlon. The flies will be held for a maximum of five buainBSs days <br /> should be scheduled accordingly. EHD staff at the expanse of the applicant. <br /> 4. Any file not returned In the some conditi may require a$139 deposit on as released will be P or t review. �:OOP� Cl D1�iG HOLtRRYSj <br /> Future filo revlLtw,%by the s PP MONDAY-FRIDAY S W AM- <br /> WELL ATdD SEPTIC PERfiffi RECORDS ARE AVAILABLE FOR REVIEW: <br /> El�ctroriic Informatiari: 1]List Map Descriptiotl. D + <br /> Specific Date flange <br /> of il,Forntatian Resift!t& From <br /> EN\fIRONMF-N'TAL FILE ADDRESS EHD USE ONLY <br /> HFALTi'(DEPARTMENT City <br /> • FILES Street IE Street Name D Cern . <br /> U"MM2szMNV TANX(LMT) <br /> CLEANUP Sm(LM <br /> �(1711ER CL6INUP srrE <br /> TI 4ce War <br /> .0 PFJnREO FRCtry <br /> WST (MO TORINGfRera,+u1 rf, .' 4 1 li1Wf� ' <br /> �]H&IwetC+ 0 MATITALS !f L,!} i .•r et3c - We <br /> ATPOM" <br /> tnVF4%LrAW-MSPORSE � A <br /> gm WAm FCKM r Vemm T <br /> A <br /> ao <br /> I l w!r►la++io+� <br /> 0 Foos FACUrf 1 �-pG jC 77J <br /> �PAIL(SPrr � Il �, �1'�0��!� 4J Oc �• <br /> UALKf 0 �NWSiI� <br /> L-�L*xo USE APPL1PATFM `/� <br /> Srp=PumpEa Two(I e !3a`-' �� A j ro Co, <br /> YARn I C"Umm TNLLTS L p{ 0r, 1 y CUPA <br /> i3 WuErmTEA TFE+�T�T PLANT 141 f. M f , 1 <br /> QHousmaA1MTE*eKT �/� r ( , Tc( Qoo <br /> 0 MOTELMUML CLIPA-UST <br /> ❑rmci F Amcii I We KENWELe) <br /> MrL ' <br /> 1If f�.�r o rC& `k rJ� �llv N <br /> © lLvic�L WILm�FROM- O a � ��. <br /> ©TATTOMBOUT PW-Rcma L L- <br /> soup 1�are <br /> wA�T1RE <br /> 10c��� <br /> © No B <br /> ©WAS-M ,inV�Oro. CA: NASI �4 <br /> COMPLNT <br /> C]O TweKP LERBE Smcw 11; ,� ❑a <br /> w C� <br /> I;A 2 - ? - -�attc rc1 vtz le r kle P . <br /> 0 Records provided by staff-PPR Complete. staff toren: <br /> Received Time=Jul, 28, =2017=11 : OOAWi--No, 1991 <br />