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Jan 22 2014 2: 58PM HPjOSERJET FAX 0 P. 1 <br /> EHO LOG NUMBER er <br /> SAN JOAQUIN COUNTY <br /> Y Le' <br /> JAN 1?, 2 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTALNL7 Phans: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.6.rg/ehd f <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION' <br /> APPLICANT: 61—e a roSKU SUSINESSIAGENCY: TFCC PAJit vn ripe <br /> ADDRESS: lot 2rd SIS Sr.L:4e 'Z2Q CITYISTATE721P:S--n Fvbxnc.sca, CA 9° 10S <br /> PHONE(1):."1IS—G'jLl Cl!j PHONE(2). FACSIMILE: <br /> TENTATIVE'APPOINTMENT BATE: Fekr.Lau 2 2olH Tlme: <br /> (Please dlow 10 business-days ham dale atrppl eon sitm l- •Twat+only-mustherwnOrrrwd) <br /> ❑CHECK BOXTO EXPEDITE REQUEST-$125F%E(CASH OR CHECKONLY)-REQUEST PROCESSED IN3�2'ESS DAYS <br /> SIGNATURE OF APPLICANT j <br /> DATE LL / 20)j <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS Eve USE ONLY <br /> StrM# Street Name City . unit 1 <br /> r4- <br /> co Lo 'S /4v-e- a ,ro 5 3o <br /> �,s2 2't�i% Z-iC, ,❑WW2 <br /> . 0 <br /> 6. _�, I ❑Unit4 <br /> 7. - Q ff�d Sf/Gu✓( i <br /> 8. l fi!a 11e--6 unit s <br /> 9. <br /> 10. ❑UnY S <br /> Speeitie Dots Renee of Irdamudlan Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> gNNDERMUND TANK(UST)CLEANUP Sm(LOP) ❑MEDICALWASTE FACILITY ❑SOLDWAsTE FxcLnyIVEHICLE <br /> 4ERCLEAuuPSfrE(NON•LOP) ❑Housima AsxremEIT ❑WAtMTIRE <br /> DERfaROumD TANK(MONITORINOIREMOVAL) ❑FOOD FACILITY ❑OTiy <br /> OMRWNDTANK [ICHICKEN RANrH1 Doe KENNEL ElWAIFMATERTREATMBITPIANT <br /> ZARD=WASTFJHAMDOUS MATERIALS ElMOTEUHOTEL ❑pWrMTRUCfKIYARDICFENCALTOILET3 <br /> TIERED Pf7d6TTEo FACILITYF1POOLISPA [TV LAND USE APPLICATI(Ml SMTATrooIBoDY PIERcima ElCoNPLAIItrIREsPoNsE RTxoRDs ElOTHER(PLEASE SPEMM <br /> WELL AND SEPTIC PERiW RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY S:OO Aw6:OOPNI(EXCLUDINGHOUDAYS) <br /> 1. Listuo to tan addresses In the space above. Select the typs(s)offibs from the list above byoheoidng the appropriate <br /> (eboxs): At least am file type MUST be selected. Fat to 1 0914640138 or mail to the address Indicated above. Address <br /> ranges will'nat be accepted�for additional asslslance with file addresses,contact the ERD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The-EHO will nottythe appTkant if any EHD filesexist. An appointment for review will be vanfimred approximately tan(10) <br /> days after recelptof appikaflon. The files will be hold for a ma imurs of Obuve siness days fortaviaw. Appointments <br /> should be scheduled accordingly. <br /> 3. Allis that Isactively being worked on by EHD staff may not be immedlatalyavattable for review. Anewapplleatlonmaybesubmitted when the Lite is avelable. <br /> n 4. Anyflle not retued in the same condition as released will be reorganized by EHD afaff stth6 s enseof thea li anFuture file reviews by the same applicant mayrequfns a$125 depositprlorto review. <br /> oro nsas v.W7� <br /> Received Tlme Jan. 22, 2014 2:57PM No. 5063 <br />