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: .= k�. =sem - <br /> s-. 's✓j6�.tc'rt��5 ''� "w f P -r^:"",•� »..-.:-.. .:. <br /> g +E+.aeu:.aaf 4. ,.. .��y. .. <br /> From Marcus N. Bole & Associiafv 530+633+10119 14012012 1`5:2€ #257 P.001 <br /> . - EliLs t.oG NUMBER <br /> RATE RECEIVED SAN JOAQUIN COUNTY <br /> ENViRONMENiAL HEALTH DEPARTMENT <br /> 1868 East HazeltOri'Avenue,'Stockton, CA 95205-6232 <br /> TelephGne-(209)468-3420 Fim.;(209)464-0138 Web.www.sjgov.orq/ehd <br /> PUBLIC RECORbt RELEASE APPLICATION. <br /> BUSINESSIAGENCY: <br /> APPLICANT: <br /> AIDoRESS. 1'1 or V -- - ctl YrsTATEfZiP: t .- �'� . <br /> PHONE(1): PHONE(2)- y 0 6 011 FACSIMILE: 3 <br /> 7EtUTATtVE*APP0INTMENT DATE: u rs r�� >rsj Time: <br /> (Please allow 10 business days frarn d to of application submit -'7e»fa�ve only-must icon i��rmed) <br /> GiiECFt 80XSC1.EXPEttTTE RECltJ ±Elf E C SFi d CHECK ONLY)-REQUE=ST PROCESSED IN 3 BUST"ESS DA.:S: <br /> I r DAT 0 <br /> 1 SIGNATORE OF APPLICANT_ <br /> Electronic Information. List[ Map- Clescripticsn: <br /> FILE ADDRESS END USE ONLY i <br /> street# StreetIIamff " City 0 unit'1 <br /> • <br /> 12. l untt 2 11 <br /> Al <br /> 4 �. <br /> iiAN5. ( - , - <br /> 7. 1 ! (Pip <br /> a <br /> _ ❑Unit 5 <br /> SpedIicMate4an0e:oilnforrnatlaltiRaquested. From to. <br /> ENVIRONMENTAL HEALTH.DEPARTMENT FiLES <br /> LR,tLiAi0P` <br /> i tD TANIMIST). LEANUP SItE(LOP). LJ MEDICAL WASTE FACILITY SOLIb WASTE FACw YNEHICIX <br /> $ITE(NON-LOP.) 0 HOUSING ABATEMENT ASTt27tRE: <br /> otll��l T aic(MONITORING MOVAL) D t:boa FACILmr C�DAIRY <br /> outt�i Tatix CQ CHICKEN RANCH/Dom;KENNEL, C}WASTEWATER TRFAYMENT PUNT <br /> usVVAST us MAiei�IaLs D MOTEUNOTEL Q PUMPERTRticKJYART 66 NCA1 TOIL.Ers <br /> Q TIERED PERWITED FACILITY POOLISPA ❑LAND USE APPLICAnOli Sn.S <br /> DTATTOOIBDDYPIERCING „ fiMPLAiNTjRESPDNSERECORDS ❑OTHER(PLEASEiPi� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLI"FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5.0OPM(EXCLUDING HOLLDAYS) <br /> type(s)( � appropriate, <br /> 1. List un to ten address�s.tn the space above,. Select the e s of tiles from the fist aboYe by checking the aPP P <br /> box(es). At least one file type MUST be Seleoted..Fax to 1209)4$4-0 38 or,mail to the address Indicated above Address <br /> rangras::will not be accepted-for additional assistance with file addresses,contact the EHIJ. Applications received after <br /> 3 t)Q pm will k>e tytacessed the next business day.` <br /> 2. Tho.1`tiD will ttirotify the applicant 1 any EHD fifes exist. An appointment for review velli be oonflrm.. ..apprWgll.ataTytert(9Q): <br /> days after receipt bf Application,. Tha:fifes will be,held for a maximum of five business days for review. ,p ppolntmeri[s <br /> should be seheduled.:arccor '0911. <br /> 3. A file that.is activeiy Ging worked on.byEHD staff may not be Immediately available for mvlew. Anew applicatiort:tmay be <br /> submitted when the Elie is,arrORlible.:. <br /> 4. Any file not returned its the Sartre+t6nditioln as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by tI*sane applicant may require a$125 deposit prlorte review. 51471596-409 ' rom <br /> ?: APs shy NO <br /> a,-^t��... �,.�. '' <br /> ..-� .� dt t•� -� -->r,!" ,s. .�Y,4u�-',�. -�: �% Y;r'�.f��rt��'.''�'" n� n .xg }'`,�"�rte' <br /> P �&�,�: - y� p_ �y • u.}� y t �j a a- "ty aF- ,-i -7?-J 9 RL` 5+ 't <br />