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AUG-26-2013 MON 10:59 AM no wining Associates FAX NO. 559 268 7126 P. 02 <br /> REOMED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AUG I11013 ENVIRONMENTAL HEALTH DEPARTMENT <br /> EWHONMENTALHEAI 1868 East Hazelton Avenue, Stockton, <br /> phone: (209) 468-3420 Fax: 209 464-0138 Web: %vww.sjgov.org/ehd <br /> PERMR/8EFMCE9 ( ) <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rl ;I P /1lZ BUSINESS/AGENCY: (11 <br /> Hi4 y� <br /> ADDRESS: 2S Z 7 F o0re T /�SsOc n <br /> 'r CS nG <br /> S+�cci- CITY/STATE/ZIP: F' <br /> PHONE (1): US-1� ZG 9_ fe'�o CA '7.3721 <br /> 7a 21 PHONE(2): CSS-) 970- qSy FACSIMILE: CSsq� <br /> TENTATIVE`APPOINTMENT DATE:�l5 / 26K_ 7/ 26 <br /> i q <br /> (Please allow 10 business days from date of application submittal-`Tentative only. Time. /D: 30 A ,., <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSEDIN3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_ -��� � _ <br /> DATE_ <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS ONLY <br /> Street Street Name <br /> City EHD USE <br /> 1. cry tr fc er Lc ei OUnit1 <br /> 2. 252 Fork <br /> yq <br /> 3. (v3ZLf Lv �UnR2 <br /> 4. ,G <br /> to 2 /3r06 T2 <br /> 5. <br /> ( N ''��•�-� .4-v en..t 'i S'irx.h•Mti -CI Ullit3 <br /> 6. 302- (✓eye; {ree# yY' S Ixe��o j v"V.- C36ic-I fe�� <br /> nj! <br /> 7' Unit4 <br /> 8. <br /> B• at-tj CL LL ❑Unit 5 <br /> 10. <br /> Specific Date Range of information Requested: From 0. it <br /> nit6 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> LOA7AR <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILRY 2S <br /> OTHER CLEANUP SITE(NON-LOP) LJ$OLID WASTE FACILITYNEHICLE <br /> ANDERGROUND TANK(MONITORINGIREMOVAL ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> BOVEGROUND TANK ) ❑FOOD FACILITY ❑DAIRY <br /> ,ABDVE OUS WASTEIHAZARDOUS MATERViLS ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILRY ❑POOL/SPA <br /> ❑TATTOOIBODY PIERCING LAND USE APPLICATION SITES <br /> ❑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 es . ten addresses In the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 2091464-0138 or mall to the address indicated above Address <br /> ranges will not be accepted-for <br /> d-for additional assisfance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm wlII be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist, qn appointment for review will be confirmed approximately ten(10) <br /> days d e schad of application. The files will be held(or a maximum of flue 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 a Itcant <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> . EiOXED`AREA EH.R:US E6I!IkY <br /> ;f7 Recants provld�d by Staff pP-R,G�i�`)pl8t�SfaflNams .. .. r I �' <br /> Received Time Aug. 26, 2013 10:50AM No. 3921 9/4112 <br />