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■ <br /> Dec. 11. 2013 9: 18AM • . No. 0818 P. 1 <br /> DATERECENED HD LOG UMBER <br /> N <br /> r SAN.JOAQUINCOUNTYEMP <br /> r <br /> Y ENVIRONMENTAL HEALTH DEPAR S <br /> ��ONJ East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (208)464.0138 Web:WWW.sjgov.org/ehd <br /> p�C 2p13 PUBLIC RECORDS RELEASE APPLICATION f�j 6 <br /> c ,+ <br /> A& V\ se W�ewbl BUSINESS/AGENCY:"F? IiS <br /> �H RESIIa: rr9+ CITYISTATEiMPyIl_ :. ; a 6 94Sy/ <br /> PHONE(1): '4lX5y3-T-Tf 0 PHONE(2): 7. tjs FACSIMILE:(5fo) i3G^i379 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> •(P1eaal snow 10 business days from dxtl of 1ppl cauon eu mtttal-•Tentotfvo only-must be coatimted) <br /> OCHECK BOX TO EXPEDITE REQUEST-$1?6 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT OATEyZ <br /> Etectronictnfoririatlon; .;List©Map—Description: <br /> FILE ADDRESS= . <br /> - `BHDOSEONLY <br /> Name <br /> CNY _ ❑Unit 1 <br /> streetatrootama.., ;:. :.: <br /> 9 s r.'.; MM 1 ND <br /> N O I Q ;�,1cum r 1" <br /> 2, Unit 2 <br /> 730 �.F <br /> �'.'• <br /> 71 <br /> : :N73 N",;iz .,:.t,. P.. <br /> O 1 <br /> lire , <br /> 8pocltic Data Range of lnromladon Raci eitad; From .1 to . <br /> ENVIRONMENTALHEALTHDEPARTME TFILES SOLID WASTE FACILRYNEHICLE <br /> UNDERGROUND TANK(U.`;,T)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY <br /> OT HERCLEANOSUE(NON•LOP) OHOU6INGABATEMEHT FLI, <br /> ASTETIRE <br /> UNDEkOROUNUTANK(MONITORINOIREMOVAL)2( ❑FoonFACILTTY IRY, <br /> AROVEOROUNOTANK )]CHICKEN RANCH/DOG KENNEL ASTEWATERTREATMENT PLANT <br /> MPERTRUCKIYARDICHEMIPALTDRETS <br /> HlSARODUSWAsWHAlARDOU$MATERIA49 C]ANOTELIHOTEL AID USE APPLICATION SITES <br /> TIC.iEo PERMITTED FACILITY 1�pQQ1I PODUSPA <br /> T(.iT00ISODY PIERCING 'IS CDMPLAINTIRFSPONSE RECORDS []OTHER(PLEASE SPECIFY). . <br /> WELL AND SEPTIC PERMIT <br /> RECORDS ARE AVAILABLE?,FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPm(EXCLUOINca HOLIDAY!) <br /> lOte <br /> 1. List uo to to address!!In the alp1ado iboST he selectedBOt the.lyF4X to �09)A84.0138 o miesfromtall to th!add sa Ind catgd!cove�AddreOa <br /> rrx(es): At least ono file type M. <br /> r2?sed will not he accepted-for additional assistance with file addresses,contact the EHD. Applleatlona received after <br /> ';::O pm will he'processed tho next business day.. <br /> 2 ".e EHD will t oNfy the applicant If any EHD flies siclet. An appointment for revlaw will be confirmed approximately ten(10) <br /> ••„,)s after recelptof sppllcdtlon. The files will behold for a maximum of five business days for review: Appolnfinents <br /> :;.�auldbeaiadtiloadulachdaccordlnply, <br /> 3. J,Nle#hat halo --''-' sun orad may not be Immediately avellebla for review. A new application may.be <br /> 0, bmittedwhat%Ills 111014 _ <br /> ;;fila not returned In 1112-%� I iD staff at the expense of the apQllcatiL <br /> 4. f,. <br /> I )� t AcG a�Pl:mnt u I}YJnew. r?a (a14Pti !( Q [ <br /> :::ire:flee rev%®ws by thr ' �----- ' <br /> . --��;-1"I-,P-xtslVlaav oLcer' .'I/Ch11�IG�l7r' L� 4 , '� "�'� '�5� w,•:.�!c <br /> LFP, t4lcj)n4etcd' sysJFntO <br /> sIC-I F j I-- Gr <br /> ccrda:provlded ti Prr' Gvp)'cctT} cop,% 0� 1nc\aerY ' 1; ' � ; ,i',4. <br /> 1. T (�_ c, '14112 <br /> C'epat- 1 �+'X83-a "J(„ (Por �15s iq <br /> Received Time Dec. 11. 2CIJ «:,:, •-• : : , <br />