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10 31'2014 0l: <br /> 33pmFrom-Younttdahl Con tine Group, Inc 916 933 6482 T-042 P.002/004 F-438 <br /> LIVED EHO LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY l,p <br /> OCT 312014 ENVIRONMENTAL HEALTH DEPARTMENT (� 3 <br /> ENVIRONMENTAL. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;TEAL?H!]FPARTMENT elephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd �Q <br /> PUBLIC RECORDS RELEASE APPLICATION i <br /> APPLICANT: I LIUV Ip :Vara. BUSINESSIAGENCY: <br /> ADDRESS: t'2 If2 V1 VL'Vl CITYISTATEIZIP:4� A <br /> PHONE(1): t 3 ©&aHO�1E-ty. / RsZ�P 2 <br /> wry ( 177 gGGn CC , ryetj <br /> Please allow 10 business days from ate to o4 application submitral for the recolfly be a'wdilable. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> 1 F1CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT k DATE <br /> Electronic Information: ❑ Lrst 0 Map-Descripti n: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name TJ City VIE IUnit 1 <br /> 01 <br /> 3. t <br /> 4. �+ O / Unita I' <br /> 5. � ,tc1�i ►� <br /> 6. 4 rii OZ I nita �Y <br /> 5 Ae VJ cd <br /> ❑Unit$ I <br /> 9. _ <br /> 10. - ❑unite <br /> Specific Date Range of Information Requested: Frain %9.ia to ,20 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> FNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY Ll SOLID WASTE FACILITYNEHICLLE(E�� <br /> HER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL)p( ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT / <br /> KHAZARDOUS WASTEIHAZARDOUS MATERIALS A, ❑MOTEUHoTEL ❑PUMPER TRUCKNARDICHEMICALTD0.ETS <br /> ❑TIERED PERMUTED FACILITY POOLISPA ❑/LAND USE APPLICATION SITES <br /> F1TATTOOMODY PIERCING kiCOMPLAINTIRESPONSE RECORDS NOTHER(PLEASE SPECIFY) well Lfi <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S'OOPM(EXCLUDINGHOLIDAYS <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 files 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 EHD 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 /> in9.P5 of S X50 T Adno4d <br /> A -. - - d Z.1 itc-s is d -Qf <br /> LAZUU <br /> I <br /> 7b <br /> rov <br /> ❑ Records pided by Staff-PPR Complete. Staff Name: <br /> EHD 4e-05 05101114 <br /> Received Time Oct, 31. 2014 2: 17PM No. 7447 <br />