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AUG-14-2014 THU 09:23 AM M Twining Associates FAX N0, jj 268 7126 <br /> P. 02 <br /> 'DATE REQES FEHD LOG NUMBER <br /> I � SAN JOAQUIN COUNTY <br /> VV 2p�q ENVIRONMENTAL HEALTH DEPARTMENT qV0 <br /> pUC1 1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Tele 209)458-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> �rtv2 flMMtISER)j(CBLIC RECORDS RELEASE APPLICATION <br /> 'APPLICANT: I t,;1;` /�c..�ct_vc�. BUSINESS/AGENCY: f`lcbre '7-,,,,;.,., <br /> ADDRESS: Z,� Z FreSno Sk�ee r CITY/STATE/ZIP: yrs o� r-A 1?'R-7Z <br /> PHONE(1): (SSY) 2 6 8- -7021 PHONE(2): (Ssq) -778-c1Sc-I1 FACSIMILE: (SSe) 26'g- 7126 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records, <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name - City ❑Unit 1 <br /> 1. 135 L,. Fer,-,00-v+ —.1<4�e, WD, <br /> 2. �'oZ'//prpj ( J. Fee w rr+ $Free 4644 dart Unit 2 <br /> - <br /> 3• 2"t0 (.J Fre moo..-f- ¢�.e 2{- .S-kxGcio�l �l'J <br /> 4 �{0, la , Ye rnon4- &4 -ee+ -S+lu 6c�-<+ (,1 nit3 . <br /> L120 Aj, / 1p d.sm s+,eal �ozlc �a — tnok�� <br /> 2 N. al:�o sF �y�� $loci + a it4 <br /> 7. 1/nnIq gi, ya�o 5 �.raG <br /> 'I Jr C/ l ❑Unit 6 <br /> s. 19 l ,�20 'a u a .. <br /> 10. � <br /> 'Unk 6 <br /> Specific Date Range of Information Requested: From to <br /> �/ ENVIRONME�NT/+L HEALTH DEPARTMENT FILES 1-- <br /> L,�yf,U`N�DERGROUND TANK(UST)CLEANUP SITE(LOP) Q"MEDICAL WASTE FACILITY SOLID WASTE FAC1441TYIVEHIFL <br /> r THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTETIRE 7 N Me9,1 <br /> AtyI NDERGROUND TANK(MONITORINGIREMOVAL)4 ❑FOOD FACILITY AIRY U+1 11 <br /> BOVEGROUND TANK l [I CHICKEN RANCH/DOG KENNEL [WASTEWATER TREATMENT PLANT $ <br /> AZARDOUSWASTEIHAZARDOUSMATERIALS OL ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> IERED PERMITTED FACIUTYD( ❑POOLISPA u,-.,/ C <br /> ry LAND USE APPLICATION SITES lJ� <br /> ElTATTOOIBODY PIERCING lyJ COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) d <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0OPM(EXCLUDING HOLIDAYS) �.J <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(200)464-0138 or mail to the address indicated above. Address N g <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. 8 <br /> 3. 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 S C(� <br /> should be scheduled accordingly. *N <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant -r- , <br /> Future file reviews by the same applicant may require a$126 deposit prior to review. '""BOXED AREA-EHD USE ONLY"* <br /> zI-14 P o 6%s I& g� <br /> Ai CAA) n <br /> 0 s 5T <br /> 0 2 - 006`7 61s aa5 G . v <br /> Fina".�F co you _ proms d,p I�Ar� oPY01 <br /> `e &�5 <br /> Received Time Aus. 14, 2014 9: 14AM No. 6831 wCO -12(o I$- ,n 5t le {o� NZOMAoUAn ( ) r <br /> t4)00 3bz13 n n rI k, UZ1JMa.el7 5p,� rXiX�. <br />