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AUG-26-2013 MON 10:59 AM NoTwining Associates FAX N0, 568 7126 P. 02 <br /> RE VD <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> Aub 2 A 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EPERMR NTALHEEI%phone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd C\1 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: �� I '� /1l aict �e-Z BUSINESS/AGENCY: Mc-re T <br /> i�ic h teS <br /> ADDRESS: 2527 Fces.,o CITYISTATE/ZIP: FFA J Z 1 <br /> no . GA 9j7 <br /> PHONE (1); (SS-11) 2G g_ 7azl PHONE(2): CSSa) 97y- 9Sy( FACSIMILE:_(SSq) 2CEC— 7/ ZIp <br /> TENTATIVE*APPOINTMENT DATE:_y/5 //3 Time: 10: 30 <br /> (Please allow 10 business days from date of application submittal.-Tentative—only -9 <br /> -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 ��,%�' � DATE S/as�i3 <br /> Electronic Information: ❑ Llst❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> Unit 1 <br /> 1. a, I✓ <br /> 2. ;td/. lC}f�a <br /> �J � �G(b <br /> Lit <br /> Svc aur tJ -77D 5 Unit2 <br /> 1o32y fk (f�� s /��e �eN� 4, NPc(Y%cc � , <br /> co)1') /VI . - UNW <br /> caCt� <br /> Nnit3 <br /> 6. 3 -lxkio-. 2 ', 3,a: <br /> 4") Noc4�� <br /> �IA.l�ll•I P ct�.r" W - VU, d '1 ❑Unit 5 <br /> 9. <br /> 10. <br /> rjn It 6 <br /> Specific Date Range of Information Requested: From C (Q 1 t to c 1( <br /> ,�/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> LOvJ NDERGROUND TANK(UST)CLEANUP SITE(LOP) El MEDICAL WASTE FACILITY 2rSOLID WASTE FACILITYNEHICL <br /> �THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRE -7 fj1416 <br /> NOERGROUND TANK(MONITORINGIREMOVAL)X— ❑FOOD FACILITY ❑DAIRY 9-9-13 <br /> [HAZARDOUS W ASTEI C"\ ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOL/SPA - 21LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND 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 to12091464-0138 or mall 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 /> Future file reviews by the same applicant may require a 8125 deposit prior to review. ".H(3x'�II <br /> ORA Ef{ ttSE9Ni <br /> �. M1 _ h ' - <br /> 4Records proy►ded,by S2ff PPR Gfarnplfitg <br /> 9/4112Received Time Aug. 26. 2013 10:50AM No. 3921 <br />