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i <br /> DA 'm � L LL60 'ON MLS : II 9IH 'SI 'ISP awll paAIa3aa <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> JUL ` 1 2016, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> 'WRONMENTAL HEALTtj Telephone: (209)468.3420 Fax:(209)464.0138 Web:w _s)gcvo 9/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION f <br /> i APPLICANT: Kri! }{r,_QaIA4 BUSINESSIAGENCY:_� l,Cti1`� rfp <br /> ADDRESS: H%40 Hili S-} 5ui+t: 5 CITY/STATEIZIP: PoyMe NV S95o2 1 <br /> PHONE(1): -1-15- 84-916H PHONE(2): FAX OR E-MAIL: _kb4u lE-@cartyrw CPnSu11An'kj. G <br /> Please allow 10 business days from date of application submittal for the rr:re-ds to be available. <br /> Staff t ill contact you to arrange an appointment date and time to revlewtlle equested records. <br /> i ® CHECK BOX -0 EXPEDITE REQUEST-$130 FE (CASH OR CHECK ONLY)-REQUEST PHO;ESSED IN 3 BUSINESS DAYS <br /> I, S16NATURS OF APPLI-.ANT d,,j DATE -11 le.(I <br /> I' <br /> 1.! List up to ten ado t 2M In the spa below. Selectthe type(s)of flies from the list belcH by checking the appropriate <br /> Ibox(es). At least c to file type MUST be selected. Faxto(20914.14-0138 or mall to the•31S ress Indicated above. Address ranges will not be Iccepted.Applications received after 3:00 pm will be processed the I Ie ct business day. <br /> I' 2.� For assistance In I lentifying the nature and content of EHD records,please contact EHI) it the number noted above. <br /> i, 3. The EHD will notiP,, the applicant If any EHD files exist. An appointmentfor review will IN@ confirmed approximately ten(10) <br /> days after receipt,f application. The'Iles will be hold for a maximum of five business i la fs for review. Appointments <br /> should be schedul ed accordingly. <br /> A. Any file not return- d In the same condition as released will be reorganized by EHD stats r t the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> WELL AND SEPTIC I ERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00`11 I.5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Informat on: ❑ List ❑ Map-Description: _ <br /> Specific Date Ran a of Information Requested: From N <br /> ! ENVIRONMENTAI <br /> HEALTH DEPARTMI NT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK JUST) Street# Street Name city <br /> CLEANUP SITE(LOP) Y _ (]CONBVMER <br /> 1 ry� <br /> i - <br /> Br--I�HAZARDOUS WASTE 1 L 13 cmx <br /> L9 TIERED PERMITTED FADNTY 2 25o I P,cul. �o J '70h <br /> PSI A90VEGAOUND TANK r ((QYY•-'�� — �1 PWG <br /> UST (MONITORING/RENO\ .L) <br /> l' H=RDOVS MATERIALS <br /> I. SPILLIRELEAEE RESPONSE In WATER QUALITY <br /> ISI SOLID WASTE FACILITYI VIP OLE y A - 1 tl I__I,6 <br /> i d FOOD FACILITY I1Q 1 r I fLO�I rVf_Z-AAJ� LTa[,- <br /> POOL I SPA GaN�q _CO LiP_ca <br /> IgSrtc MmcAncN <br /> I E <br /> ❑', DAIRY Mo P1 Moll al shc��n <br /> I. L. LAND USEAPP,ICATION... ± � r,' HON ING <br /> I. U SCPTIc PUMPER TRUCK I E ��,A� <br /> YARD/CHEMICAL TOILETS 2toq <br /> cuva <br /> WASTEWATER TREATMENT I ANT <br /> �--I <br /> U HOUAINGADATEMENT 7 <br /> rl MOTELIHOTEL CUPA--J.✓ <br /> 171 CHIcnN RANCH/Doc KEN IU 6 <br /> I]MEDICAL WASTE FACILITY ..6 <br /> TATTOOISODT PIERCING at,11P WASTE <br /> I. WASTE TIRE 9 <br /> I�COMPLAINT --- <br /> ❑ C]A CouNnrvo <br /> OTHER(PLEASE SPECIFY); <br /> I' 10 <br /> I �s <br /> -ISQXED AREA-EHD USE ON4Y"" -o <br /> i mit <br /> n Record7rovi Jed by Staff-PPR Complate. Staff Name: _ �® <br /> EHDAe.Ue <br /> 1.00/1.00 d 4L8L« LO ZL aLOZ/4L/in <br />