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P <br /> 06/25/2010 11:53 9257466 j j AF' SULTANTS PAGE 01/01 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> `cd <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ulu 600 East Main St. Stockton, CA 95202-3029 <br /> Wp Tj <br /> r-L: WWW 0 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: -sig v.org/,h* <br /> j <br /> L 1"o' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: I/1'1 t1f_n_Sj&6_ rnC4 BUSINESVAGENCY,_�f/ <br /> ADORESS: 1 �- ,)/r/4,„&&� <br /> CITYISTATEIZIP <br /> PHONE(1): 14�- <br /> m 'li _Aq�"1,��� <br /> TENTATIVE*APPOI TME _ PHONE(2) FACSIMILE� R-25La <br /> N _NT DATE: C, <br /> (please all <br /> Time: <br /> Ow date Of application submittal-*renfativo only-must be Gon—firmsci—) <br /> CHECK SOX TO EXPEDITE RE1�01UESIT.$115 P E(CASH 101R CHE(CK�DN�y)-�,REQUE-;STIP�ROO�ESSEL)�IN3'BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE J4,1 e– 2 r,:7 <br /> Electronic 11 p D Serip I <br /> L <br /> Information: Fl List Map <br /> Descrip ion: <br /> 171LIZZ AILIIJKESS <br /> Street# HD USE ONLY <br /> Street Name City <br /> t—h- E I <br /> 3155 <br /> , T ... Kin <br /> — Unit 2 <br /> 4, <br /> 5. ----------- <br /> Unit 3 <br /> X/ <br /> - 7, 'Xunil 4 <br /> 8. <br /> 9. <br /> 10. <br /> Specific Date Range of information Requested: From Unit 6 <br /> EiNVIRONMENTAII HEALTH........... ......... to <br /> 1':! M_ENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) LJ HousiNG AeATEMENT <br /> OTHER CLEANUP SITE(NON-LOP) 1-1 FOOD FACILITY 91 SOLID WASTE FACILITY/VEHICLE Af6 <br /> ffl UNDERGROUND TANK(MONIToRINGIREMOVAL) El DOG KENNEL WASTE TIRE <br /> HA7AR0OIjS WASTE GENERATOR D CHICKEN RANCH DAIRY <br /> TIERED PERMITTED FACILITY El MOTEL/HoTEL 173 WAStEWATER TREATMENT PLANT <br /> TATTOOIBODY PIERCINr, 11 POOIJSPA 9 PUMPER TRUCKtYARDICHEM11CAL TOILETS <br /> MEDICAL WASTE FAr_1LrrY F-1 OTHER(PLEASE SPECIFY) Z LAND USE APPLICATION SITE$ <br /> WELL AND SEPTIC PERMIT RECORDs!ARE AVAILABLE FOR REViEw: MONDAY+RIDAY8:00AM-5:D0 EXCLUDING HOLIDAYS <br /> 1, Li u to addresses in the Space above. Select the We(s)Of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. F�Z to 7Cj111!!j I <br /> ranges will not be accepted A[15!1:��U38_QLrq2fl tu[�1.1:1 <br /> for additional a to t �Qv Address <br /> assistance with lije'addresses,contact the 0. Applications received after <br /> 3:00 Pm will be processed the next business day- <br /> 2. The EHD Will notify the applicant If any END files exist. An appointment for <br /> days after receipt Of application. The files will be held for a maximum of fivereview will be confirmed approximately ton(10) <br /> should be scheduled accordingly. business days for review. Appointments <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 sarne 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 x115 deposit prior to review- <br /> s. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD U$Q ONLY <br /> EHD d8-OE <br /> 8127tO9 <br />