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i Uec. Io. LU 14 5:43rIYI V0 UYY4 Y. I <br /> DATE RECEIVED19 <br /> EHD LOG NUMBER <br /> ° SAN JOAQUIN COUNTY <br /> ° ENVIRONMENTAL HEALTH DEPARTMENT <br /> RECD DEC 1.8 (� d 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �c1�l5hone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.orglehd <br /> /j PUBLIC RECORDS RELEASE APPLICATION C//�� /fit <br /> APPLICANT: /jyn�� �¢ice BUS]NESS/AGENCY:N3ajL1j6aLout/I 66mbrkp <br /> ADDRESS: (9—( W.,W�2iL o� QVL CITY/STATE/ZIP; `QA-Va F(lr`1S?�� <br /> PHONE (1): 7-09) L}(P�-"54 PHONE(2): FACSIMILE: (74 4(o P <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE - <br /> -5130 GA H O HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1-111'Z-11V <br /> Electronic Information: ist❑ U—Descript <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑v Unit-1 <br /> 1• 3257.(• S• LfaR.�kt- ,yo ow 20 � `�,Va / <br /> 2. 2 7 S 6UOW 120 TRACY ®Unit 2 <br /> 3. 5L -72. S . CA3P.QAJ• FIOUOW t nt,,1 <br /> 4• 5&O 5. Uaa.F - oLL D,J /2-O n, I Unit 3 <br /> 6• <br /> Q(,s0Ot Lfiir rle2S PO '/ lGl/�' y`. Ounit 4 <br /> 7• D S (&TC 20 <br /> 8. Unit 5 <br /> 9. <br /> 10. p unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 19 HOUSING ABATEMENT WASTETIRE <br /> UNDERGROUND TANK(MONITORtNGIREMOVAL) Q FOOD FACILITY DAIRY <br /> ABOVEOROUNDTANK gLCHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HA7ARDOUSWASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY POOUSPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS POTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REyIEw: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un 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 W selected. Fax to(209)464.0138 or mail to the address indicated shove- Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. 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 behold fora maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff atthe expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. "'BOXED AREA•HHD USE ONLY"" <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Euo 4e4e OB101114 <br /> Received Time Dec. 18. 2014 3; 36PM No. 7748 <br />