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AVE SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL 30 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRON Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> am %\0 <br /> n p?mFl RICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: A2V'Chn. ( Qp BUSINESS/AGENCY: <br /> ADDRESS: q CITY/STATE/ZIP: <br /> PHONE (1): _ PHONE (2): FACSIMILE: <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 RE UEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINES DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑'Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1. ( <br /> 2 t* ,- F Unit 1 1 <br /> J C-' <br /> un <br /> 4. $ Iti r F —71 (� f'3nit 2H <br /> 5. JwA L{ eS <br /> s: _ �' I I <br /> ISO1 Fi; V ❑Unit a `1 <br /> 7. <br /> Unit <br /> 'OS ITE MITIGATION <br /> 9. <br /> 1710. i <br /> Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMEN AL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENTWASTE TIRE <br /> ®UNDERGROUND TANK(MONnORINGIREMOVAL) FOOD FACILITY DAIRY <br /> ®.ABOVEGROUND TANK [CHICKEN RANCH/DOG KENNEL LAWASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS MOTELIHOTEL W PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY POOL/SPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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(209)464-0138 or mail to the address indicated above Address <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 EMD records,please contact EHD at the number noted above. <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 <br /> should be scheduled accordingly. <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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> JtitJe� �sT IIIc �W r lav V1wn-ktr LIN C vldel M-r 4(eg 4ur 311 Natitcr CoA-Ile .&,,,io <br /> /ti + r%1ne ,AA U lr2b"-7. 11A'w.4C000 27 0Ot . Wq <br /> we k ( Life- 00 ~ 6144 Ow 1-117 i 's-Ae tA5'C 'le or 13 Mej <br /> ave" JhvUej che•A T&TfVf 5 M1� <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 46-06 <br /> 7/1115 <br />