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Nov 28 05 03;26p Apex2( " N67-9668 p.1 <br /> $!MECEI1 D _: dip LOG'NUMBER l]` SAN JOAQUIN COUNTY <br /> ENVICRONMENTAL HEALTH DEPARTMENT; <br /> 49V 23- (, 304 East Weber Avenue,3`'Floor,Stockton, CA 95202-2708 U <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> r , T"T HEALTH <br /> VICES PUBLIC RECORDS RELEASE APPUCATION <br /> APPLICANT: Dr- av, k1-t BiISINEssrAGENCY '' Ad <br /> AD0RESS: V?'0 'ro r t-bs k .;CX_ %.5'3 V -t <br /> PHONE(,): PHONt(2): fo 00- 4 6 b <br /> TENTATIVE"APPotNTdlmT tm ►Z ! `dam _T.'_ <br /> d Q <br /> (Please allow 10 buslne 1 Jaya Dorn data of appikattou su5ri Mai=''rerdaffn only-must be COt3 nnem <br /> ❑ CHECK dOX TO©(PEDrTE REQUEST-193.00 PdEE� OR CHECK ONLY)-REQUEST PROCESSED IN 7 IFUSNM DAYS <br /> SIGNATUREOFAPPLICANT b `�--✓+"' DATE IIIc% Q3� <br /> UNCI C7157RiBUT1ON [7 LInit 1 ❑ Unk 2 UrBt i Unit s r]lh>tlt 5 E3 Unit 6 E3 0tlw(elecb,6n1r,J9fsts4maps) <br /> FILE ADDRESS END USE'OIdILY 1 <br /> Stnw 0 Street Norma CEky <br /> 1, a{0 5 tis r. ��_ �► A- <br /> 2 O Z: �3� Lre. S�.atx. -. �G <br /> 5. - <br /> B. f�LoS ��w a q.R .3 7 kD /a9 jgMZ_ <br /> 7. 'S131 tA�' r tA, _A / ,F, -- ;a <br /> LIZZ <br /> . 341 3. ®t t tt 1, <br /> Specific[}ate Range of Information Requested:From Z. y toENVIRONMENTAL HEALTH DEPARTME14T FILES <br /> 1R1;r ouND TAMK(UST)CLeANUF S rE(LOP) 13 HousiNG AaATEMENT 0 Soup WASTE FAC0.r A(EMIGLE <br /> 0 OTHER CLEANUP SnE(Now-1-0 P) E3 FOOD FACIM 13 WAST76 TOM <br /> 0 UNDEAUROUND TANK(MOt3T4RIHVRENOYAIa ❑DOG K NM3. l3 DA1RY id <br /> Il HAZAmaus 1HAs7E GENERATm 0 CHCKEN RANCH WASTEVYATERTWATMWT PLANT <br /> .0 TQC PERmaTm FAcuTY d MOTEUHOT L C7 PUMPER Tr U=MARD/CHEM TOUXTs <br /> 13 TATrooBODY PEF=No ❑POOLISPA 0 LAND USE A"WCAUM STtr. <br /> Q NMUCAl.wASTE FACItrTY ❑artist(PLUM SPEW" <br /> WELL AND SEP=PERW RECORDS ARE AVAILA9LE FOR 110AMN- MOkDAY-FRIDAY 8:00 AA*4:00PM t- EKCLUDM. bt19>AYS. <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the IW above by checking the <br /> appropfEate box(es). At least one file type MUST be selected. Fax to(209)454-0138-or mal l_to the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance'with file addresses,cordact <br /> the EHD.Applications received after 3:00 pm wig be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. Air appointment for review will be confirmed <br /> approximately ten J10)days atter receipt of application-' The files will be held fora: <br />