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From:Marcus H . Bole & Associates 530+633+0119 10/23/2012 15:21 #257 P.001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lua e_ BUSINESS/AGENCY: gale-i` &.fir d Af'Z r� <br /> ADDRESS: GI Pi,tecc( _ Qk CITY/STATE/ZIP: <br /> PHONE(1): PHONE(2): y30 6r3:j dI t FACSIMILE.—6��-c0 f'33 O%/'l <br /> TENTATIVE'APPOINTMENT DATE: A, cx� uS 61e5la.T Gv9 j� Time: }y <br /> (Please allow 10 business days from d to ofapplication suhmiftal-'Yenta ve only-must be con irmed <br /> ❑ CHECK BOX TO EXPEDITE REQ" $1 E(CASH O CHECK ONLY)-REQUEST PROCESSED IN 3 BUS ESS DA S l <br /> SIGNATURE OF APPLICANT ^= DATE O E �. <br /> n121�ti Electronic Information: ❑ List❑Map—Description: <br /> 1L FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City_ uni <br /> e� Z. MC77P Unit 2 <br /> — _ I �/ <br /> s• I i[fUnit 4 <br /> 7. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> ,[i' nit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> fERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> T�HERf, _El �A CLEANUP SITE(NON-LOP) HOUSING ABATEMENT STE TIRE '7 '�G� k r W"f i 1 3. <br /> ERGROUND TANK(MONRORING/REMOVAL)^ ❑FOOD FACILITY ❑DAIRY V" J�� ( i(_GJ-(Z <br /> OVEGROUND TANK 0i, ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> RDOUS WASTE/HAZARDOUS MATERIAL ❑MOTEUHOTEL ❑PUMPER TRUCK/YARDICHEMICALTOILETS <br /> ❑TIERED PERMrrTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING 5jCbMPLAINTIRESPONS E RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to f209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3.00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <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$125 deposit prior to review. ffffi t Esq to i� E N <br /> _ rr ,_ <br /> a€ G, 's <br /> dFYF's' t..ay'rF �. ` ? ?ice'-rte .?�u.Zar-� �3C;, ,3YY" v.7f n�5+�s '.F". ' <br /> a,._e;Grzxrt�k("es- �4,:=� ..T.m.rz�:-._.-��_�.�'.Y,s�.:�'�_.-.. <br /> ��7:�� rte'.. <br /> �a �,.c�..a.��:�_ +..r� s.�✓;�_3?aa._.f.r.„ ^w. „GF �-,.L-..c. =�vs� ..3... ��s.�. ..��.�.�. <br /> 01`Records irov�ded b Staff�Pft Com 1et�' f nee��� £ ds - a , <br /> EHD 4a-06 <br /> Received Time Oct. 23. 2012 3:31PM No. 1474 <br />