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}� 0 No. 3313 P. 1 <br /> 'Y DATE ECE VED <br /> •� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> �I. DEC I 20 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1: (2 East Hazelton Avenue, Stockton,CA b:ww .sjg Q I "7(p <br /> • l�PifiROVdAEftTAL HEALTH Telephone: (209)4683420 Fax: (209)464-0138 Web:www.sjgov,org/ehd V <br /> P1EWRrQERVlICEs PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: AShleri McGinnis <br /> ADDRESS: BUSINESS/AGENCY: SJC Public Works <br /> 1810 E. Hazelton Ave <br /> PHONE (1): 209-468-3085 CITY/STATE/ZIP: Stockton CA 95205 <br /> PHONE(2): FAX OR E-MAIL: 2 0 9-4 6 8-2 9 9 9 <br /> Please allow 10business days from date of applicatlon submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> -- __ <br /> ---_ . <br /> CHECK,s-6X TO EXPEDI REQU T § 9 FEE_(CASH OR CHECK ONLY_)_ REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTA � �% F - --- - <br /> t, Llst ua to ten addresses in the space below. Select the types)of flies from the list below by chec i g he aDATEppropriate <br /> box(Lbox(es). At least one file type MUST be selected. Fax to 209 46d-0738 or mail to the address indicated above. Address <br /> will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> ng <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will no the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten It 0) <br /> days after receipt of application, The files will be held for a maximum of five bualness days far review, Appointments <br /> should be scheduled accordingly, <br /> 4. Any file not returned in the same condition as released 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Informatlon: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH FILDEPARTMENT FILE ADDRESS <br /> ES <br /> • �UNOEgpROUNDTgNK(UST) Street <br /> l# IVIStreet Name <br /> City <br /> I [EHr D USE ONLY <br /> CLEANUP SUE(LOP) <br /> I'2122 <br /> rGOTHER CLEANUP SITE(NON-LOP) OWe 5G4 C, .PV/ p D CaysUMES <br /> �HDOUS WASTE <br /> K19TIERRU PERWT FACIUW ('��/y, /�p���,, DFIRv <br /> AWO GROUND TANK Oe-101 e- pe4 I e, (I�- „L.tN/r In l) I � <br /> UST (MONITORING/REMpVAL) <br /> KA2ARDOU3 MATERWLS /L.. A ..I� / (� ❑ ' <br /> &SPILJRELEASE RESPONSE <br /> RSOUD WASTi_FADRTV VEHICLE <br /> [FOOD Foam IISf� I�1 U.lrl S�. SIU VIL � -' 1 <br /> POOL/SPA <br /> EYOAIRY $ 5�'rlp 1� (��/]� SRF MITIGATION <br /> PLAN.USE APPLICATION Sr'Es I V I-vVl p�A 5�G14-I'I�i T . t�� <br /> SEPTIC PUMPER TRUCK/ <br /> VAEMICALT /„OOD S t 11T01/ Wa� Iq-IW <br /> SING <br /> 'WASTEWATER TREATMEK7,PLANT ^r6I�-2 <br /> [ZHcuswnG TEMEw <br /> �f����/� 'Yn (�� O p� COPA <br /> MOTELMOTEL " 3 l/ Ja(It try A lif_ (v , <br /> CHICKEN RANCH/DOS KENNEL 1_ IV�� <br /> MEDIC WA .Fg., 111 O I v` D+r CUPA-LIST <br /> ❑TATMWBODY PIERCING "l v V I/ YIIVI Nps i <br /> E�WTE TIRE f+/� <br /> ffCOMPIAINT ' ID_6D vv -fr aog(v '-Yin, `1 1 SOUDWAsm <br /> OTHERPLEASE SPECIFY): / ✓1 11 v`W/f <br /> ' ISD w sCkl L A4 T�tcy Cc iR� EISY o A�oDN we <br /> Cdl <br /> ^60%Ep ANEA.EMO USE ONLY^-- <br /> u, I} <br /> 00W <br /> ❑ Records provided by Staff-PPR Complete. smn Name: <br /> Received Tlme Dec 14. 2016 10: 00AM—No. 0503 <br />