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04/15/2014 13:06 FAX 3106154;^4 2001/001 <br /> I <br /> DATE R>cslvEo, EHD LOG NUMBER <br /> ppCC SAN JOAQUIN COUNTY <br /> ISG ED ENVIRONMENTAL HEALTH DEPARTMENT �� A <br /> 186,8 East Hazelton Avenue,Stockton, CA 95205-5232 <br /> APR 01191aphonej (209)'468-3420 Fast: (209)464 " <br /> 0138 Web:www.sjgov.org/ehd ¢C' `4 <br /> /7 <br /> ENVIRONMENMIA HEALTH PUBLIC RECORDS RELEASE.APPLICATION <br /> APPLICANT BUSINESS/AGENCY,. 1pT�!:MP'e- <br /> ADDRESS: A-Q& CITYISTATE/ZIP; (t �fl�' CA 9 3 A z, <br /> PHONE(1): _ 57APPOINTMENT DATE:- ( S PHONrE(2): FACSIMILE: <br /> TEN <br /> %< VE' L ( 14 Tlme: <br /> ( lease allow 10 business days from did of application submllfai-`Tenfaflve only-must be ooMitmed) <br /> ❑CHEC )X TO EXPEDITE REQUEST-$126 FEE(CASH OR CK ONLY)-REQUEST PROCESSED IN 3 5 SIN S DAYS <br /> SIGNATUR80 APPLICANT DATE (( I <br /> I <br /> Electronic lnfyjrr atlon- ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY � p1p <br /> Street#; Street Name City <br /> �A Unit <br /> lJ F4. - NM 0Co(t COW <br /> Unita a3 <br /> rl <br /> 6. � mit a <br /> i . <br /> Y. <br /> s. <br /> to. I � unite• <br /> Specific Date Rt <br /> mation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTME FILES y <br /> UNDERGROUNCLEANUPSITE[LOP) ❑wcilcALWA51EFAcILDY SOUTETIRE FacRrlvNBwcLE 2I � <br /> OTHER CLEANI ❑1louslNOABATEMENT WASTE TIRE <br /> UNOER6ROUNfORINGIRENOVAI) []FOOD FACILITY DAIRY <br /> jASovFGRouuD <br /> ❑CROKEN RANCHI DOG KENNEL E]WASTEWATER TREATMENT PLANT <br /> RjHAZARD0USOUSMATERIALS QMOTELIHOTEL � ❑PUMPERTRUCKII'ARDICHEMlcALT01LM <br /> FTIERED PERK ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> TaiTa BOD7CONPIAINTIRESPONSERECORDS ❑OTHER(PLEASESPECIA') <br /> WELL ANDSIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAYS;00 AM{:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List u t In the space above. Select the type(s)of files from the)let above by checking the appropriate <br /> box(es). At a tone file type MUST be selected. Fax to 09)464-0138 or mail to the address indicated above. Address <br /> ranges will n. t e accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will processed tha next business day. <br /> 2 The EHD will t!"e appliprrt if any EHD files exist An appointment for review will be confirmed epprm mately olirtmenta (10) <br /> days after . e t of application, The files will behold fora maximutn of five business days for review. AppolMmerde <br /> should be ecl, uled...rdingly. <br /> S: Afilethatis; Nelybeingworkedonbyl n /� Paoatcet llwif 4a nes o <br /> Submitted a the file IS available. enayst Ylevs Tim} 4 72L II,Le- Ul for puTysrQulorune$br /a� <br /> 4. Any file not t med In the some conditio -ib'9 0 irrs, c.iuu Ks 4uro '�epa�� , .�4T tlu,-lonSf,ve, Nlufk�n �rtaslo' tli� <br /> Future file re by the same applicant Kgrn-kxn Maskr t.ii, Mg ler Tach, Hu{=Flet-re<h, &4er spam e"ert=le:, <br /> "'p\r.m� c� LLL o rn -en r�:rJllnt <br /> _b y',;j,�!'•.tt,...._y^wyH_ �^ `-'rrf oil tuil�ners , 5pra,l-on r.dlrners of A1crW LLC, "P Y s . <br /> v-< ,red . t; = y; c F 7m klpn, Tzchn is A ,.k Crn �� LCOb Ir6 K39 FtY N 1-w1' 776) T.url <br /> u] F <br /> CSYinrrlcz Slolc Is In tt FiIE. P,a�,clxcl copyo <br /> -?`tea. -ct.;?:;a:: ....:'-.•:+.t:r-..Ya.�r.4�a:.,:, 5 ' <br /> . 1 - <br /> pt- d -72-0 e NarnmP.-, Coof <br /> � wvac Fb���ntci. <br /> Hw lIz z7el —,&,no r� rJen Nw. u�I rnsfaC(. b <br /> AsasC - CIQIGwLf- C6C'(o37 'a3(4i 63Ss7) is ,n HW Ole-"14"12 <br /> Received TimeApr. 15. 2014 1 : 16PM No. 5793 41 7zok nmev- in G2"�ngrc6.1N ! <br />