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UWON NVI 9�0� 'Sl ;W11 PWaoq <br /> Q`PIVED - I I <br /> Afj iff—t V EHD LOG NUMIBLIR <br /> SAN JOAQUIN COUNTY <br /> 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> JUL I Fj 20 EwRowminul- HEALTH DEPARTMENT <br /> hWIROWMENTAL-EALTij Telanhane: (20.9)468-$420 Fax:(209)464-0138 Web:www.sjgov.o•g/ehd <br /> a E PUilli S V r-E R ICES PUBLIC RECORDS RELMSE APPLICATION <br /> A P.0 1-1 C ANT Q 7, Q 17 rpt SINESVAGENGY: 4 <br /> A, N/ U— <br /> ArJDREss: Mo Hot s 5(44e,58352 <br /> CiTY)STATEIZIP: <br /> PK.ONM -4-91ln.H PHONE(2): FAX OR E-MAIL- Gconvcod cpnsyd MTS. r-, <br /> Please allow 10 business days from date of application submMal for the reco-ds to be available. <br /> Staff�ill contact you to arrange an appointment date and tImeto review the 'equested records. <br /> L] CHECK BOX -0 EXPEDITE PEQUEST-$130 PIFF R CHFCK ONLY)-REQUEST PRO-,ESSED IN 3 BUSINESS DAYS <br /> �V!112 3 <br /> FE (CASH(CASH 0 <br /> SIGNAT UIRE OP APPLI ANT DATE -1 le,116 <br /> I.; List up to ten adds 2ses In the spaL-below. Select"iso typ4ns)of files from'he list beic Vi by checking the appropriate <br /> box(es). At least c is file type MUST be selected. Fa--to 12091-4-VAUM Pr; aIl tP the--11bi EM!Indicated above. Address <br /> ranges will not be iccepted.Applications received aftar 3:00 pm velil be processed the tie d business day. <br /> 2.1 For assistance In I !entifying the nature and content of EHD racords,please contact 011) it the number noted above. <br /> 3.1! The-END will nobf, the applicant If any EHD files exist. An appointim,ant for review wfli Im confirmed approximately ten(10) <br /> days after=Gilpt If appileatlon. The files will be hold for a maximum of five business t la;s for review. Appointments <br /> should be schedul td accordingly. <br /> Any file not return--d In the same condition as released will be revorganizad by EHD staff';1:the-expense of the applicant. <br /> Future Me r view, by the same applicant may require a$130 deposli prior to review. <br /> WELL Algid SEPTIC F EMIT RECOPDS ARE AVAILABLE FOR REVIEW: MONDAY-PRI DAYS:00 T1,11 1-5:00PM(EXCLUDING HOLIDAYS) <br /> Oectronlr,Inllorn st on: E] List [] Map—Dasarlptlori: . <br /> Specific Date Ran, e of Information Requested: From t, <br /> F-NVIROHMENTAI <br /> HEALTH DEPARTIM!NT FIE ADDRESS <br /> FILES TEAH ID ®'3 E Q N L'Vr <br /> UNDERGROUND TANK(UST) Street 9 Street Name city <br /> ONSUME <br /> CLEANUP SITE(LOP) <br /> 24 21 ajo�-It-y- I'+ 41 <br /> h i.W72 <br /> iAt2l <br /> A�a W3 <br /> HAZARDOUS WASTE <br /> lIII TIERED PERMITTED FACILIV h <br /> ISO <br /> ri I Neal, �Otj <br /> AbOVVGROUNo TANK <br /> UST (MONITORING I REMO%-Q <br /> HAzAnooUsMATEMALS R= <br /> SPILL/RELEASE RF-SPONSE tl WATER QUALITY <br /> SoUL,WASTE FACILITY/VV <br /> FOOD FACILITY <br /> Mme"'. <br /> POOL I SPA' <br /> DAIRY C, i q1 0 P;tu <br /> IL--ND UstAPPLICATION SITZ <br /> scpmc Pumpn TRUCr,I <br /> YARo/CHrMICALTOILEIS <br /> ICD <br /> [Ef <br /> WAZTEWATER TREATM F.NT I ANT CLIPA <br /> HouriNo AoATEmEWT 7 <br /> I: LSJ MOTEVHOTFL <br /> CRicKaN RANCH/Doc KEI, IEL <br /> MEDICAL WASTE FACILITY <br /> TATTOOIBODY PIERCING 6Y"'OUp WASTE <br /> I. WASTE T(K9 9 <br /> COMPLAINT ACCOUNTING <br /> OTHEA(PLIVNSF SPECIFY)! <br /> is 10 <br /> _D AR5A- H <br /> USE,ON <br /> A /10 <br /> -LYMA VUV <br /> Maecor& ployl ted by Staff-FPR Comm lets. Staff Hams: <br /> EHD 4Z.06 <br />