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SEP-03-2010 03 :26 PM TTINS. ENV&ENG 949,2 0517 <br /> D r l 0944�q4 FD <br /> h `/ if- SAN JOAQUIN COUNTY EHD LOO NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT / <br /> 600 Eaet Maln St. Stockton, CA 95202.302912 <br /> LNVI UzJI'v!t('v I ;,,i _Ttj Telephone: (209)468.3420 Fax: (209)464.0138 Web:www.Bjpov.o Q <br /> I%E0 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: J 0�h <br /> BUSINESSIAGENCY_G14 1ko �w✓• $ 1'nq �hc <br /> ADDRESS: 'Z2-37'a P I a�0 h o CITY/STATElZIP: M i 581 D k I ` <br /> PHONE(l): 1+9- U_?_9438 PHONE is �jOCA g2G,Rl <br /> YfNTATIV@'APPOINTMENT PATE: ( ) FACSIMILE: Q���t--1z- C,S � <br /> (Please allow 10 business days from date o 0 Ilcatlon submittal•• _o Time: <br /> PP Tenfarlve nly.must be confirmed) <br /> Q <br /> CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY),REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE 9 -3 -1 a <br /> E a troni Information: []List C]Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> NMFeets Street Name City <br /> 1. 2 1{C7 l_40vN%s Rea dl. S`tbc unlit <br /> Road, 9+9ckt-dh <br /> S. a LOtl1h 16 Roo e� nit <br /> Sob C 64 loh <: J, <br /> A• L it t ooW iS Itba� p �J <br /> nit <br /> °� <br /> _ -7 LoOw )SS}"o¢p.foh, � ) _ I p <br /> 6- -41-4Cp Leo'1s �DoPQ <br /> cS'!ocKto h <br /> 8. <br /> ®, unit a <br /> 10, - <br /> spa ifiC'D'aid,Range of Information Requested: From Unit S <br /> ENVIRONMENTAL H€ACTH OEPARTM T FILE$ to <br /> Uf{pOROWND TANK(UBT)CLEANUP SITE LOP W5 'NVl <br /> GTH R OLE00 TANK(UST)CL (LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILRYIVEHICLE (U FFF <br /> UNbohGRDbNDTANK(MONITORINOIREMOVAL)IJc nDog K KEFOOD NNEL El WASTE TIRE <br /> HAZAR1500 WASTE GENERATOR VVV�" DAIRY <br /> TIERED PERMITTED FACILITY CHICKEN RANCH W I��`l.10 <br /> ❑WASTEWATER TREATMENT PLANT 0 I <br /> TATYObIBbbYPIERCING a ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> -MEDICAL WASTE FACILITY ❑P0011SPA ❑LAND USE APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> Jftl4ii,AN so IC PERMIT RECORDS ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY 5700 AM-6;0opm(EXCLUDING HOLIDAYS <br /> 1'• � dr In the apace above. $elect the types)of files from the Ilst above by checking the appropriate <br /> bbk( s), tleast one file typo MUST be selected. F 2 I e d <br /> radp66 9411 not be accepted-for additional assistance with Elle addresses,Contact the END. In b Address <br /> 3:00'PM will be processed the next business day, Applications received after <br /> �• 'rit SHB will notify the appllcant H Any END 11109 exist. An appointment for review will be confirmed approximately ton(10) <br /> days A for ri celpt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> should by idchaduiod accordingly, <br /> S. A 0110 thVR?t actively being worked on by END staff may not be Immediately available for review. A new application may be <br /> 20aillk6d When the file is avallable. <br /> '4. Ato'll6'Rbt returned In the same condition as released will be reorganised by END staff at the expense of the applleant. <br /> FutGre filo YOviews by the same appllcant may require a$122 deposit prior to review, <br /> ea — <br /> .2 L r Ui <br /> I; <br /> i <br />