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Feb. 15. 2013 10:49PM Geocon No. 0730 P. 1 <br /> 1DATE RECESAN JOAQUIN COUNTY IVED EHD LOG NUMBER <br /> , _ <br /> Y ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 15 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ^ I <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd ` \ <br /> ENVI;;ONMENT,a.L FiEALRA <br /> ocaLtrre;FRVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: A&a� `nZ&yw BUSINESSIAGENCY: n�C6Ac_o J4y,.{SIZu: • <br /> ADDRESS: 3((,O GOIC.\ v <br /> t4L� �,f1\rc_ 9UrtX no CITYISTATEIZIP: JQ,e._.�6,t G,"-nln,r,A_, T 742.. <br /> PHONE(1): yl(n —g52-�/!W- PHONE (2): S­!U - Y°lR-c1?Gct FACSIMILE: RIL- F-5 �Tt32- <br /> TENTATIVE'APPOINTMENTDATE: cl [ ,�r� Time' q:d00-.rt <br /> (Please allow 10 business days from date of application h1Ltal-`Tentative only•must be coeflrmod) <br /> ❑ CHECK BOX TO EXPEDITE REQ EST-512.5 KEE(CASH HECK O LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Z/151?013 <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD use ONLY <br /> Street# Street Name City P1771Unit 1 <br /> 2. C��T-r7Crf-'t-7/J� 7 iF' I71Un112 <br /> 3. 2JI1t� ,� cx9ft lI <br /> 4. Q0 - u/l _. ...\ 171"Unita �V <br /> 5. <br /> 7. 760 1.IV1 =�Nf. <br /> '(6 ) fY Q Unit 6 <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From //j /NS;-0 to 2 /7 24/3 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> rm6�m�NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIA NEIjICLE <br /> UrrrrrrdmmmmmmGGGGGG�m''''''HER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE IT')"i'--5 Y0� r 3 <br /> DERGROUND TANK(MONITORINWREMOVALV I1 Fnnn FACII'ITY nDAIRY <br /> ABOVEGROUND TANK '''�' .� fQjI0W`40 (�/1�/J/GV fJQn•-e irl,�'�� )-{.(N 7'72E /_/' <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS I r � r�?-7��r !^V <br /> El TIERED PERMITTED FACILITY I OZ( AA/Wit-/ r,�� � , A118151 3 So 5, 3S fl ylo, <br /> ❑TATToolSoDY PIERCING Q 5 O d- ��" <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAIL°(Am(2V4r� A-000( '36a ICff 15 , * <br /> A L1 IIS 'e /— <br /> I11113 1111 �Q�IP r' rn/ r ot-"'•{AQ 4_90:21.f ln:-(440(:n-,fs <br /> 1. List up to ten addresses in the space above, 'c5 <br /> box(es). At least one file type MUST be selet '� <br /> ranges will not be accepted-foradditionala - CLJ4�n-tl1�-Dt =�^^ <br /> 3:00 pm will be processed the next business (,or -yDN Zc h.Jr r-a <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for revl To view the HMMP (Hazardous <br /> days after receipt of application. The files Will be held for a maximum of five buLaterials Management Plan)go to the <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avawingwebsite:www.sioesdata.org <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released Will be reorganized by EN:•yu•,•., <br /> Future file reviews by a same applicant may require a$125 deposit pnorto review. 'Y`�[]Y✓✓ p ARI 4%_HD:l1SE OiNLY <br /> ... . <br /> : P ,,:.. � P 0 . <br /> ❑ jieco,,rd3iptiavlded tiy:Staff-PP ':Goifipleti3'.siaffName� ' <br /> jpeiY <br /> Received Time Feb. 15• 2013 10:47AM No. 2 3 4-13 r v.d(1 .6/11 qX4 I Ys � .••.. "'+J <br /> HMMf'iil/6- IGIGZrFtlyff-ytI zt }pj1 ( �r- a', �1 N1Gii(�T^ -7c,CI 4G,t" -,Jl 11 T-N"4—y-,_17 . <br />