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v. rayo.�c.. .3 �. ..� •r _ ... <br /> Ci1iE <br /> ',� + t�!', rl EHD LOG NUMBER'�',+t r SAN JOAQU N GouNTY <br /> ENvIRONNIENTAL HEALTH DEPARTMENT ' <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> TeIeOo e, `209) 468--34'21,: Fax: (209) 464-0138 Web: wvvv,.,.sj0av,arq!ehu 9 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ('L t 4.1'U-1 n'� BUSINESS/AGENCY: <br /> ADDRESS: To Lei 0- - 1 0--1 CITYISTATEIZIP: v^� C'� g �O <br /> PHONE(;.;: �7 �-0—�l—3�� ___ ���1��t�): FACSIMILE, <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> neal w(Please allow'G Wsinesdaystiom pbsune , -must isc acaniirrrted) <br /> CHECK BOX TO EXPEDITE REQUEST-w125 FEE MASH OR r.HECK ONLY)-REQUESTPRQCE55Ea I>`13 BIJGIldESS JAYS <br /> SIGNATURE OF APPLICANT DATE <br /> _ <br /> Electronic Information- ❑ List 0 Map•-Description: <br /> PILE ADDRESS EHD USE ONLY <br /> StrA4t Street Name � City — �� � / Uri[! <br /> 2 L.Cf O c� i/�_�—f._. �'I A" •_ ^Ul'%� _,p Unit 2 <br /> 4. 115-15(p �S. <br /> Unit A <br /> 7 TovievvytheHMMP.(Hazardous <br /> ,- Materials Management Plan)go to the <br /> 9 ` following'. ebsite www sjoesclata.org <br /> --4 <br /> [Z"Unit 6 <br /> 'to. <br /> tr <br /> 5psci4ic-Date ee^�4a�r;r.:i I.tz�ssr-�tatiu i;e�ues: •�.:: <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �UNDEAGRM't1DTANK,IIST)CLEANUP SITE(L-OP) I`FOMAL101ASTE FACILITY, soi_'•DAA TE FA Cfl_PYIVEH!!C'' <br /> HousiNG ABATEMENT ASTET!RE <br /> OTHER CLERNUPSITE(NON-LOP) � <br /> 1!30ERGi2O(lI�DTA?lK(MO1'iTOr�1NGt'�'E*Y'JAL) ❑F•ooe FAJIL;!Y DAIRY (% <br /> CHICKEN RANCHI DOG KENNEL 9WASTEWATER TREATMENT PLANT <br /> LAVEORQUNDTANK i,P1SrvERTRUCI<JYARr,M-HEMICA!-T^`EFa <br /> A1?C�US UASTf i!IAZQ4DOLS M ATERlALS. MC'TELIHO?E LAND USE APPLICATION'SITES <br /> EDPCRMIITEDFACILITY �{]1PooUSPA n �t,"HERrpLEASESP1tlFY <br /> LST.:3Tf^015 MPIER'ING i ICC�RhI�LAi:FCIRFSPO�ISC EErCRLIs C� t <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> i. t jst up to ten addresses in the space above. Select the types)of flies from the list above b checking the appropriate <br /> y Address <br /> box(es). At least one life type MUST be selected. Fax to(2491 d64-0138 or m�li tot ie address pd3aaa Indicated_ns ee �Address <br /> ranges Wlt not be accc-Pted-for additional assistance.r.ith file addresses,contact <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHED will notify the applicant if any EHC files exist. An appointment for review w;ii be confirmed ap,�;o;elointments rrlatelY ten(to! <br /> days after receipt of application. The files will be held for a maximum of five business days for review. App <br /> should L? St<il.l ilElrfi a?_Gstii i3 iy. <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 /> subr iged wirer:&t-_file is a4alfable. <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 /> Feature:ale review by ti:e sarne applicant may require a$120 deposit prier to review. *"' <br /> _ .. <br /> 77f 777: <br /> O' <br /> _ <br /> _ <br /> , <br /> .......... <br /> No as�6 <br /> Received Time Feb. 15. 2013 11 :50AM No• 2326 <br />