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No. 3313 P. 1 <br /> DATE EIOEIP'Vl� <br /> EHD LOG NUMBER <br /> SAN.IOAQUIN COUNTY <br /> DEC 1 k 20 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East HazultDn Avenue,Stockton,CA 95205-6232 <br /> 15MIROMENTAL HEALTH Telephone: (209)468--3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> I'I+MIT�..E$ 'PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ashlen McGinnis BUSINESSIAGENCY: SJC Public Works <br /> ADDRESS: 1810 E. Hazelton Ave CITYI8TATEIZIP: Stockton CA 95205 <br /> PHONE(1). 20.9-468-3085 PHONE(2): FAX OR E-MAIL: 209--468-2999 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff wlll contact you to arrange an appointment date and time to review the requested records. <br /> ... ...... _--__ _ - -- (-- _. � ..__) __._�_... B. _..._. . <br /> ❑ CHECK B�'COflEXPEDI REQU T-$ 9 FEE CASH QR.CHECK ONLY -REQUEST Pi2QGE5SED!N 3 BUSINESS.QAYS <br /> SIGNATURE <br /> LIR to APPLaddrICANT <br /> _ _ _. CESS -.--_-- .- <br /> DATE�2 <br /> in the space below. Select the typ®(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209)46441.3$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 notifythe 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 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 reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM 5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: [] List ❑ Map--Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL �p �ry 1Z <br /> HEALTH DEPARTMENT FILE ADDRESS vt 1- <br /> FILES D USE ONLY <br /> V_UNOERGR4UND TANK(UST} Street# Street Name City , <br /> CLEANUP SRE(LOP) �y� ���,r �A /*, f r, ' cON MER <br /> 2OTHER CLEANUP SITE(NON-LOP) � W1i'�I iv 5_OW&Y 5a C, � }� V C / <br /> �HAZARDOUSWASTE r J riJWRV i2-),�I� <br /> IJ A,SPERMITTED FACILITY 2 �' <br /> �A6OVEOVEflaouNDTANK t �/� /} <br /> [ UST (MONRORLNa J REMDVAL) y�yy Y {� c A-� 4 4 /. i j A� PW-5 <br /> 14HAZARDOU8MATERMS 3 `45Kf yy FJ `-'j6 �! <br /> d.SPILURELEMr RESPONSE I i�j 1"•"l ,J I V 'I�l (Y <br /> dSOLI1)WASTE FACWTy/VEHICL Lx 111.14uau7Y <br /> �FooDFACILrrr 4 IJ�3� Gllrl 5 <br /> ErPOOLIAPA } r <br /> J ► a LOT-( ) SITE MI7i6hrION <br /> 9DA1RY 5 51 D D T__- M Zr l POS_ 5'l�G4 '}`lir') °, , J�J(l 4,,� �'V <br /> LAND USE APPLICATION 8REa <br /> ❑SEPTIC PUMPER TFUcx! /I,n,nn'^�nn 1� �/L /�/I,/ 1��,,1 r�� -, � / J lar OUSING <br /> YARD I cHEMICAL TOILETS e (A U � i 1 I l �Y�r �/'✓ "1 S 1 "W n '"�� � /' <br /> E3vAs7EWATER TREATMENT PLANT J �"rG F'A <br /> gd"IOUSINOASATEM�NTY ��CJ <br /> 1M1d6TEUH07PL i'vJ'�,V _ ' /f <br /> f <br /> E'CHICKFN RANCH 1 DOG KENNEL f Aj v +oil CUPA-UST <br /> F1 MEDICAL WAVE FACILRY S l Q 1 V y v 4 I L�� ! W( <br /> F]TATTOWBODY PIERCING iYZ2 I I 4 1 ' <br /> fOM�INY AST6TIRE SOLID WASTE <br /> � ;o�,-P w _T,-Qa� F,s VA `CrA I-V <br /> C <br /> ©OTHER(PLLASE SPECIFY): - - <br /> -Tmo <br /> -"n_OAED AREA-EMD USE ONLY- <br /> -1.44 <br /> NLY-- J <br /> r V aei a h I F-, 177 WO60LI 61-7), <br /> CJ Records provided by Staff-PPR Complete. sears Name. <br /> Rocive� Tirlie 1ec, 14. 2016 10 -700AM No, 0603 <br />