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0 1 Dec 02 2014 5: 19PM Basics Environmental , Inc 5108349098 p. l <br /> Ip EHD LOG NUMBER <br /> 16TE RJEGEIVED +. <br /> ❑ -,�' _ ' ;; SANJOAQUIW COUNTY <br /> ° EwRownnENTAL HEALTH DEPARTMENT <br /> DEC 02, 2014 600 East Main St. Stockton, CA 96202-3029 / J <br /> r Telephone: (209) 468-3420 Fax: (209) 464-0138 Wob: www.ejgov.org/ehd <br /> ENViR0ENTALI-1-EA1TH <br /> PER IT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATIOM <br /> APPLICANT: 'CbN wh[:1 BU8INESSIAGENCY: J;k676S EF4jy 1�LrV,�t .Trot_. <br /> ADDRESS: CITY/STATE/ZIP: oAW-A- -hjD <br /> PHONE (1): 15-)a PHONE (2): FACSIMILE: g7- 9,34 '1 1 4 <br /> TENTATIVE"APPOINTMENT DATE: Tlme: rC:0 mss` <br /> (Ploaco allow 10 buolneac d.,elfa,from dato of application aubmtttal--Tcntarlvo only-munt be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE E FEE(CASH OR CHECK ONLY)-REOUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11' <br /> Eloctronlo Information: ❑ I-lot❑11,6d—Description: <br /> FILE ADDRESS EHD U <br /> F2• f <br /> Street to stree4 Name QtV Unit 1 <br /> 1. <br /> = IQ- unit, <br /> 11 Unit 3 <br /> G. • / Unit 4 <br /> 7. <br /> 8. I Unit 5 <br /> 9. <br /> 90, Unit a <br /> It,8�cciflo Dere Raneo of Information Requested: From to <br /> ENVIRONMENTAL HEALTHWPARTMFIM <br /> 21Jb RGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATErinT iD WA$TE FACIUTYNEHICLE <br /> ERCLFANUP SITE IN FOOD FACILITY gESTE TIRE <br /> E�TRPERGROUND TANK(MoNiTORING/ftAOVAL) DOG KENNEL [I DAIRY <br /> OUS WASTE GENERATOR CHICKEN RANCH LIWASTEWATERTRFATIVIENT PLANT <br /> Eno PERMITTED FACILITY MOTEUHo7EL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ,TATToo18DDY PIERCING �PUSPA LAND USE APPLICATION SITES <br /> , <br /> ❑-MEDICAL WASTE FACILITY .OMPLAINT RECORDS �OTHER(PLEASE SPECIFY) <br /> :WELL AND SEPTIC Pam IT RE CORDS ARE:AVAILABLE FOR REVIEW: MONbAY-FRIDAY 8:G0 AM$:OOPM EXCLUDIN©HOLIDAYS <br /> 1: nt un ta-j{:n nddIn the opaco abovo. Select tho type(a)of flloo from the Ilot abova by ohocking the appropriate <br /> box(ec), At Imst one file type MUST bo selected. Fru to(MM 484-0138 or mall teen jrean indicated nbave. Addroao <br /> •'rcngoo will not be accopted -for additional accWtance with fila addreoaeo,contact the EHD. Appllcationo recelvod after <br /> 3:00 pm will bo procecoed the next buolneoa day. <br /> Tho HHD will notify the applicant If any EHD fuels axiot An appointment for review will be confirmed approAmatsly ton(10) <br /> dayo aftor rccoipt of appllcntlon. The fileo will bo held for a maximum of five business days for reviaw. Appointmonto <br /> should bo ocheduled occordingly. <br /> A file that is activoly being worked on by EHD otaff may not be Immediately available for review. A new oppllcctlon may be <br /> oubmitlod when the filo to avellablo. <br /> d"•Any file not returned In tho c,amo condition oo released will be reorganized by EHD ataf?ct the expense of the appllcnnt. <br /> = 'Futuro 111e reviews by tho oarno applicant may roquire a$129 deposit prior to rovlow. <br /> •- EHU U::E ONLY <br /> i. <br /> Received Ti,me.Dec. 2. -2014— 4: 16PM—No. 7644 u,r„ <br />