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05/14/2013 08:27 FAX 9163722565 WALLACE-RUHL AND ASSOC. Q001
<br /> D tEEHD LOG NUMBER
<br /> A+t N -
<br /> .j SAN JOAQUIN COUNTY Aft
<br /> P. •+.m:
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> MAY 1 t '2ij�j 1868 East Hazelton Avenue, Stockton, CA 95205-6232lops
<br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd
<br /> :ri:'iyG Et i s
<br /> PUBLIC RECORDS RELEASE APPLICATION
<br /> APPLICANT: Ai�a^/uMp_IBUSINESS/AGENCY:WQIlacc -kohl C�ssoc.
<br /> ADDRESS: L �,,&sfv,a gWt� CITY/STATE/ZIP: \6&+ c galea&, OA ` 5(oeil
<br /> PHONE(1): PHONE(2): FACSIMILE: qlt,- 1a
<br /> TENTATIVE`APPOINTMENT DATE: Time:
<br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed)
<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 /> s Street# Street Name City ❑Uni
<br /> -3 gob v c �,1�T 1 i (s1 co
<br /> 2. So-L - F is ( t2
<br /> 3. �/
<br /> 4• �Unit 3
<br /> 5.
<br /> s• nit 4
<br /> 7.
<br /> 8.
<br /> ❑Unit 5
<br /> 9.
<br /> L10- C3 Unit 6
<br /> Specific Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> &THER
<br /> DERGROUND TANK(UST.)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FAC JYpIV HIC
<br /> CLEANUPSITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIR C 9
<br /> DERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY tt G
<br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT
<br /> NAZARDOUSWASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDiCHEMICALTOILETS
<br /> ❑TIERED PERMITTED FACILITY ❑I' OLiSPA ❑LAND USE APPLICATION SITES
<br /> F1 TATTOO/BODY PIERCING COMPLAINT/RESPONSE RECORDS El Lis
<br /> (PLEASE SPECIFY)
<br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE R REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(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-for additional assistance with file addresses,contact the EHD. Applications received after
<br /> 3:00 pm will be processed the next business day.
<br /> 2. 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 /> 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 thea 11cant.
<br /> Future file reviews by the same applicant may require a$125 deposit prior to review. V.
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<br /> Received Time May. 14. 2013 8:41AM No. 33099 = -
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