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RE EEj gZn - <br /> J1b -uu4-,� x urr <br /> nul r-tijLluE �1�n NUE e <br /> ■� DATE RECFIVED SAN EHD LOG NUMBER <br /> � .IOAClUIN COUNTY <br /> .SUN 1 b ZUY �-110 ENVIRONMENTAL HEALTH DE:PAPTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 2NVfR()NMjWAL I-'M.TH Telephone: (209)468-3420 Fax: (209)464-0138 Web;WWW.sjgov,©rgll?hd vo 7ffv <br /> FERMI FS✓!FMCES_ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: U6kv^ E5 ,rte BUSINES,$IAGENCY:_4°1-3wel, �L <br /> ADDRESS: 2dy/b c' <br /> ��bo. � �>L;—. .._.. <br /> /�_ •� CITY1S7A7EI�IP: � �G_-4-s <br /> PHONE(1): PHONE fSy4�� FAX OR E-Ni Alt.; <br /> Please allow 10 business days from date of appllcation submittal for the records to be available. <br /> Staff will contact you to arra a an appointment date and time to review the requested records,. <br /> L CHECK BOX TO EXPEDITE REQU ST $136 CHFCK ONLY)-;REQUFST PROCE`,M)IN 3 BUSIN_SS DAYS <br /> SIGNATURE OF APPLICANT GATE <br /> 1. List up to ten addresses in the space elaw, Selo a type(s) of files from the list below by checking a ap ropriatf, <br /> box(es). At least one file type MU be selected, Fax to(209)464-0138 or mail to the addre qs indicated above_ Address <br /> ranges will not be accepted.Applications received after 3:00 pm will big pr6cessed the next lousiness day. <br /> 2, For assistance In identifying the nature and content of EHD records, please✓:contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment fod 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 /> 4. Any file not returned in the same condition as released will be reorganuzed Illy EHD staff at the expense of the applicant.p_f <br /> Future file reviews by the same applicant may require a $139 deposit prior to review. C& <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:40 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: [I List❑ 'Map—Description: <br /> r�grrrr- Ian <br /> Specific Date Range of Information Requast®d: From OLe.54—gyqLLA�6 to _ J srt e--a-0( <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE Q1111,1( <br /> FILES <br /> UmmRGR0UNOTANK(LIST) Street# Street Name —City <br /> CLEANUP SITC(LOP) `y+�, a CgN9L1MER <br /> OTHER CI.FANUP SITE(NON-LOAF {. <br /> FIATAADaLf6 wnsrE El DAIRY <br /> TICREo PERMITTF,p FACILITY <br /> Anoveo;iouNo TANI< <br /> UST (MON70R1NG I REMOVAL) F}� j�7 ❑Pws <br /> I•IA2AfiDOU3 MATERIALS / 1 / } _ <br /> 7 <br /> Sf ILLJR11LEASEft_'PONSC <br /> $OLIO JNASTE F6CILI7V I VeHICLE r WAiI N 1XIA111 <br /> r000 FACILITY f <br /> Fg4L/SFA )r <br /> n n SfTF.MI IIC.ATION <br /> I:DAIRY <br /> I_ANI1 USC-AF'F'GICaTIpgJ SITES _ <br /> ❑SEPT-10 PUMPER TRUCK! ❑I lou^u�a <br /> lelYARD I CHEMICAL TOILETS7 <br /> ®WAarEwATFR TREATMENT PLANT ,,, <br /> HOU91N[7 AFA72MENr 7 t-�f/y - 1 <br /> MOTELII•IOTEL <br /> F7 C ICKEN RANCH/DOG KENNFLUL'A-UST <br /> MMIC-Al-WACTE FACILITY <br /> TAT7001600Y FIFRCINO <br /> ❑WAFTE TIRE 0&N Irl WASTE <br /> 9 <br /> COMPLAINT <br /> DTHF,R(PLEASE SPECIFY): <br /> f��,e« f7fv7 4` �p A:E^tiIINTINf. <br /> ` •"[�C%FD ARF..S._F_Hn LIS oNLY-" �" <br /> tieJ AIT?. <br /> V7-1 L"S LAV <br /> Received Time�Jun, lb, _2017_11 ; 11Af4tNo, 1700 C= <br />