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I '. 0/25;'2013 08:55 FAX [A 00 1/00 1 <br /> r. <br /> DATE RECEIVED 00� � -EDLOG NUMBER <br /> SAN JOAQUIN COUNTYRECENVIRONMENTAL HEALTH DEPARTME� a <br /> 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> OCT 2 5 2013 Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wwW.sjgov.org/ehd <br /> �RptIM-N-f �� PUBLIC RECORDS RELEASE APPLICATION <br /> EplttlltTl6 <br /> APPLICANT: Ec In EDO0 D BUSINESSIAGENCY: 61g,rc.on <br /> ADDRESS: ILhS( )Z�Vf r Pb-rl- bri.V-P-, CITYISTATEMP:-,�Ma,crQA o nf'O , CA <br /> PHONE(1): 'j)& 095(oc2 PHONE (2); �((o �-05 FACSIMILE: -��n- o(b `, <br /> TENTATIVE*APPOINTMENT DTE: Time: <br /> PNaae atlow 10 twelneee daysfrom W0Pon sa� -" enu a •must be connrmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT !g DATE le(2S(i3 <br /> Ekctron)c Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street�.,..,. Street Neme City <br /> p{� i Q 1 C) MMM ^ , LDS�L]UNt2 <br /> �� � 62-1 _. ZMZd•�5'�r`M c>"l '�ri:�lt�,�............. _� �^' n� �a aF c osp <br /> 4. 1Li....,...._.. <br /> tMM M M Unit <br /> 6. unit4 <br /> T /. <br /> 8. 0 Unit 6 <br /> 9. <br /> 10. ❑Untt6 <br /> 6pedfie Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILFS <br /> jZj UNDERGROUND TANK(UST)CLEANUP SRE(LOP) MEDICAL WAsm FAaLrrT ❑SOLD WASTE FACLD(NEHICLE }� 4 1'25 <br /> OTHIR CLEANUP SMte*N-LOP) H Housm ABATEMENT ❑WAM TM <br /> y.y UNDCROROUNO TANK(MONMORMNOIREMOVAL) ❑FOOD FACUM ❑DAMRY I <br /> ASovEGROUND TANK ❑CHICKEN RANCH/DOO KENNEL ❑WAeTEWATERTMATMCNT PLANT \1' <br /> HAzARDousWArraMAzAmmaMATERIALS MOTELMOTEL ❑PuMPatTRUCKNARWCHEMrALTOiLETs <br /> TIERED PaftwTTID FACLrrY POOLISPA ❑LAND UaEAmUcATION Sne <br /> TATTooIBODY PMERaNG CouPLAiNT1RwPoNee RercRw ❑OTHER(PLEASE SPECRT) <br /> WELL AND SI (1,0001`I Ipcn I I ay 79,1154(v, !1 15-231yFO%(EXCLUDING HOLIDAYS) <br /> 1. LIMuptol II-bI� �mP)' nrnupp rs <br /> box(es) A 1010 i Mdusir(oJ Kp+ 5)01 ,n /+L^) �1l2 w Comilla M! nu vbe,g Ong the appropriate <br /> 32225, 5)149, �`lygb rpt 5'lo(� i., Hut Fr/2, %atedebove. Address <br /> ranges wll Cc-y034 9O+, rations received after <br /> 9:ODpmw� {�MD�ll�d a-ppllcarii uitn Inarde�.•f na.IaztllumA�e�-5 XSJ-o/70q, <br /> 2. The EHD v xsS -oo9�R x S0-o)aaq far Iolo 14'4Ksirlal, 1ne,denfi report d approximately ton(10) <br /> days after nuniM�ers /oo3Ra, X5J--0a4/9� Y,33-o;25.;tb, xsJ -oa9��, _ law. Appointments <br /> Should be NtJ - oyo)"7, xs3 -o4461 Por )oD.l Indu5lr,ai , P(bo1dA-J apP))Ca/l <br /> 3. Afile that' 2-Tro8u- 5eCre4 L Maacu-Qab1)'t+Lf )CbL 1W R lot) /Mola5hrlcj peg' new application maybe <br /> submitted incyc6on Inc 4 Corn PrcdUCIS wkrna!-lenaf - RM VICW cl&haa,ff. <br /> 4. Any file nt W1�'�1 C� For albl S. PMMrper4- �or Hw 4-112. Mase of the applicarrL <br /> Future file <br /> M <br /> Rec_ ords <br /> Received Tim 911 <br />