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OCT-16-2013 WED 09;59 AM Moore Twining Associates FAX N0: 559 268 7126 P. 02 <br /> � 1 <br /> ;^'� i^-` .END LOG NUMBER <br /> RE <br /> CE SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEN , �/1" 1: �L <br /> OCT 1 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: WWW.sjgov.org/E, <br /> ENVIRONMENTAL <br /> N OTw �� <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Pk:L-? /tlacq ez BUSINESSIAGENCY: Ivlavre <br /> ADDRESS: 252-7 (=res c S F eez CITY/STATE/ZIP: I iet o, CAI R <br /> PHONE(1): CsrRq. 2e-9 7uL1 PHONE(2):(`aq) 4'78-w5;�l1 FACSIMILE; (ssa) e69- -7726 <br /> TENTATIVE`APPOINTMENTDATE: /0 /2S /3 Time: 14.'66 <br /> -(Please allow 10 business days from date of application submittal-•Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��� ?d �� DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ unit 1 <br /> 1. (10 ( Lever13rx.l e.vW2 S`IDr-t`Ao.� nuc un.ik3PSLC :>P un.0 3 <br /> 2• t141 (-ever nJ,6 0Unit2 <br /> " :cj 11 <br /> 3. l2 'J <br /> J(,J� <br /> 4. (S 25 ('a c:F;c /eve e S fmctKdv J�6 ovcc , <br /> 3 D Unita I <br /> _ DAIla �e.Ti / ..C;(2:c f�.R.,-.e 546cL.4o.� sT aaf�/J84 ohr.IF:i� nCa�sp u:.:�} 3 <br /> 6. (-72_l l.c�r{�'Cn+er 2ocr`2 .S4oc4.}e.\ No..n,S' e)D"i,x>cos 'k"l-5 unit <br /> T• /411S CrDW. Aven_. IS .S4rd,40I-N Ihu.ut'�D `c•>pui}3 <br /> ao l E. F(mrz� q�e �e l_\JrYr. S�ck1.� rb un41 3p�Noc s um}3 ❑ Units <br /> �0/ 9. lel C t'wr-tk ' S'Free,-i- IvY ._e�4oe k'f'c no aAiu -'-'Ac c¢->P"-v 3 <br /> 10. 12,52 . 5iT 4' rui•3 0-tfnite <br /> Specific Date Range of Information Requested: From to i <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ,...,f t <br /> 6h, dUNDERGROUND TANK(U2ST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE �,('QJ <br /> V n (�v]/"OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE a.' L aJ <br /> -n I9!TIERED <br /> JUNDERGROUNDTANK(MONRORING/REMOVAL) ❑FOOD FACILITY ❑.DAIRY <br /> ABOVEGROUND TANK - ❑CHICKEN RANCH/DOG KENNEL [/J WASTEWATER TREATMENT PLANTHAZARDOUS WASTEIMAZARD06S MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS PERMITTED FACILITY POOLISPA (LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING L4COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW! MONDAY-FRIDAY 8:00 AM-5:00PM(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(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2, 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 be held for a maximum of five business days for review.Appointments <br /> should be scheduled accordingly. - <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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 /> Fujure file reviews by the same applicant may require a$125 deposit prior to review. 'r".81 %Ef7.gt3EA,;:EHR.USEONLY <br /> N. <br /> =Iv 3) i3 �ir � rP ��II nit u 1aLQc7L��> _ . . _.:.,r <br /> EHO 48-06 , ��� 6/4/1 <br /> Received Time Oct, 16. 2013 9:51AM No, 4318 <br />