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i■Jan 22 2014 2:58PM HP LASERJET FAX P'1 <br />1� <br />■ <br />I■■ V EFS' EHD LOG NUMBER <br />■ SAN JOAQUIN COUNTY <br />JAN 2 2 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />468-3420 Fax: (209) 464-0138 Web: ww.SJ9QV.drg/ehd �Vr <br />ENVIRGNMENTA�'�E'��phons: (209 ) <br />w <br />PERMITISER <br />PUBLIC RECORDS RELEASE APPLICATION' <br />APPLICANT: Cir -e Ilro$f5l{ SUSINESSIAGENCY: TEC ervJirnnrhPr,kr�l <br />ADDRESS: }ol 21" s+ S e Zea CITYISTATEIZIP:S.,,, Fra n��cb; cA 9�f 16 <br />P14ONE(I):.PHONE (2); FACSIMILE: ' <br />TENTATIVE` APPOINTMENT DATE: FeltTlme: <br />(Pbaee ailorr t06uslnese-days hom dale al reel onaubmnla-sYamaffw only-must6eeordinrwd) <br />❑ CH ECK BOX TO EXPEDITE REQU EST - S125,5gE (CASH OR CHECK DNLY) - REQUEST PFtOCESS£D IN 3 BUSINESS DAYS <br />ctruaTtIRFOFAPPLICANT rn DATE 1 �22. 20%� <br />Electronic Information: <br />❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHO USE ONLY <br />street# <br />Street Wms City _ <br />C.� <br />4 <br />n I <br />Lo : .4v2 a r S o <br />1 <br />� <br />r2. <br />Unita <br />5. <br />6, <br />na e <br />7. <br />g,Una <br />5 <br />9- <br />10. <br />❑ Unit B <br />Specific Dab Renee of Infermaflon Requested: From <br />to <br />!FN�DETiGR0UN0 TANK(UST{ CIFARUP SITE {LOP) - ❑ ME0ICALWASTE FACILITY ❑ SOLID WASTE FAnfl ph� <br />ICLE <br />V�HHI CLEAY UP $RE(HON Lt)P) [:1HWBINOARATEMENT ❑WAMTIRIE _I P-'Sw <br />NDERGROUIO TANK(1tONrrOWNDIREMOVAL) ❑ FOOD FACFLrM ❑ ml� ( I -31 <br />avEORouInTANK ❑CHCI:mkamH/Doo KENNEL ❑WAsTEwATERTREATmEiTPLANT <br />HA71Ji00118 WAs7EIWwRDoul MATFRUL6 ❑MOTELIHOTEL ❑fUAPERTRUCKjYARWCtENCAL TOILETS <br />TERED PERIfTTED FACILITY - ❑POOLISPA W LAND USE APPLICATION SITES <br />TATToaSODYPIERCNG - ❑Co%PLAINT&Es1PONSEREDmm _ ❑OTHHt(PLEMESPECIM) <br />WELL AND SEPTIC PERWTT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 Am-5:00pte (EXCLUDING HOLIDAYS) <br />1. W*j uv to tan addresses In the space strove. Select the types) of flies from the Inst above by checking the appropriate <br />box(es). At least ane file type MUST be selected. Fox to 12001 464-01 3a or mall to the address ladicated above Address <br />ranges will not be accepted- for additional asslsiance with'Ille addresses, contact the END. Applications resolved atter <br />3:00 pm will be processed the next business day. <br />2. The EHD will notlythe applicant litany EHD files exist. An appointment for ravlaw will be confirmed approximatelyten (10) <br />days after recelpt of application. The files will behold for a mmdmum of five business days for review. Appointments <br />should be scheduled accordingly. <br />3. ANfe that 1s actively being worked on by EHD staff may not be immediately available for review. A new application may be <br />su bmhted when the file is ovalable_ <br />4. Any file not retur__ :_ .a,_ .._...... .,....a:a.... ..� —i-- . rui Fr..n:dvrt 16vEHD MJ AR at nonsense <br />Future nle revle+ -),4 �i'�o : LLQ C49j911 4vi f CA 7 u t qw- T e.-44maY7x <br />_ Ple on if- 1IrD,);ded a4912b ketrlT CoPieS ofMxj.k1low:'9 � <br />I <br />9d-06gSfiefgq�6Hrr-+p(-V KW L"!5 Isi, 4f - <br />:t c0003755'5) -'S ;ti +ku, <br />Received Time Jan.22. 2014 2:57PM No.5063 <br />