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est 01/01/2010 00: 19 2093398 FIIDCAL INDUSTRI <br /> cO PAGE 01/01 <br /> COC R � VEDI) EHD LOG NUMBER <br /> .SAN JOAQUIN COUNTY <br /> SEP 10 2Q15 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,.Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgpv.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1NJ izYdR BUSINESS/AGENCY:/4/,0 611- fM19[p� � 4r�S <br /> ADDRESS: WQ':11/6 "Jr/�7C—/7J CITY/STATE/ZIP: <br /> PHONE (1): PHONE FACSIMILE: r—S7F-- <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appoin t date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-, EE ASH CHRCK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i7ti. i DATE <br /> Electronic Informettlon: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> z. //3 '7 ;r 5--TCk7,W 57 7-- ,ace o 5 T �w I -Cl) <br /> 3. <br /> pp nn E]Unit 2 <br /> 4 4Ap FIIQ, CJ Unit 2H <br /> 7. <br /> L�Unit 4 <br /> 8. <br /> E�� <br /> SITE MITIGATION <br /> 9. <br /> 10- F-1 Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ,,��,,!! ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> " DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY El SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> [�0 DERGROUNDTANK(MONITORING/REMOVAL) E]FOOD FACILITY <br /> ,L��,'rA�OVEGROUND TANK ❑DAIRY <br /> . L�IIAZARDDU$WASTEIHAZARDOUS MATERIALS ❑CHICKEN RANCH/DOG KENNEL El WASTEWATER TREATMENT PLANT <br /> ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY. ❑POOUSPA <br /> ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING <br /> ❑COMPLAINT/RESPONSE RECORDS (OTHER(PLEASE SPECIFY) I <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business 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 for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flles will behold 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 reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. *"BOXED AREA.EHD USE ONLY•* <br /> ake9. C.L.ev^ a5 fvk 0� �A t e IzfyN 5 t. o Lle� 4l v` r <br /> �a r1by <br /> e o� in O00 01-75 i %� it r 1dK❑ Records prov -PPR Complete. Staff Name: <br /> Received Time Sep. 10. 2015 9: 13AM No. 9539 711115 <br />