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,% <br />Sep. 4. 2008 3:18PM No. 0169 P. 2/3 <br />c--MERECErvED <br />SAN ,JOAQUIN COUNTY <br />EHD LOG NUMBER— <br />ENVIRONMENTAL HEALTH DEPARTMENT �� � <br />500 East Main Street, Stockton, CA 95202-3028 <br />Telephone; (209) 468-3420 Fax: (209) 484-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT; oil ot�y BUSINESS/AGENCY; AJVAh CM EnyanrACR-fa2 C°'''C'LrA <br />ADDRESS: Z.2(7 LrLtx . rt M -m _ citylslatelzip -R,, id , CA x3305 <br />PHONE(1): (DiFt'�5-IlAri(t _ PHONE(Z): FACSIMILE: ItLrl-3g5-1UIL. <br />TENTATIVE' APPOINTMENT DATE: Stk�mtDur II 2�R TIME: <br />(Please allow 10 business days from data Di application Submittal - •Tentallva only - must ba condrmed) <br />CHECK BOX TO EXPEDITE RE UEST - 5105 F C SH OR CK ONLY) - REQUEST PROCF$SED IN 3 BUSINESS DAYS <br />SIGNAIIITURE OF APPLICANT DATE �j��iT V _ <br />Electronic Informatlon; ❑ Lis Map – DGscriptlon: <br />i'q /-S f <br />PILE ADDRESS <br />EHD USE ONLY <br />(3 SOLID WASTE FACILITYNENICLE <br />Street# <br />Street Name <br />Clt <br />❑ Unit 1 <br />1' <br />11 f <br />o N q 4m <br />❑DAIRY <br />2. <br />g ( <br />iwa/i(l <br />0 WASTEWATER TREATMENT PLANT <br />❑ Unit z <br />0 TIERED PERMITTED FACILITY <br />0 MOTEL/HOTEL <br />19 <br />vi <br />4.1j <br />O POOLISPA <br />❑ LAND USE APPLICATION SITES <br />120 <br />nit 3 <br />S <br />5. <br />�l iJn <br />Unit 4 <br />8 <br />T' <br />❑ Unitt; <br />8. <br />9. <br />❑ Unit <br />70. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />i'q /-S f <br />14 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ HOUSING ABATEMENT <br />(3 SOLID WASTE FACILITYNENICLE <br />ri/K�1!'U(. /J <br />6 <br />.OTHER CLEANUP SITE (NON -LOP) <br />11 FOOD FACILITY <br />O WASTE TIRE <br />�1 3 . t <br />�A, <br />9L UNDERGROUND TANK(MONITORMoIREMOVAL� <br />%HAZARDOUS <br />0DOG KENNEL <br />O <br />❑DAIRY <br />T-ve? <br />WASTE GENERATOR V, <br />CHICKEN RANCH <br />0 WASTEWATER TREATMENT PLANT <br />0 TIERED PERMITTED FACILITY <br />0 MOTEL/HOTEL <br />0 PUMPER TRUCKIYARD/CHEM TOILETS <br />13 TATTOO1600Y PIERCING <br />O POOLISPA <br />❑ LAND USE APPLICATION SITES <br />alylo8' Orod:de co��of a.bov�MPa)h'o�edulmP <br />