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•v 18 2014 1 : 07PM THE UPS STORE 2503 9167251772 P . 1 <br /> \�J D <br /> OgTE RECGVED `EFi6 L�VMBE7 <br /> ie SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV s I r 1888 East Hazelton Avenue, Stockton, CA 95205-6232 l <br /> Telephone: (208) 4883420 Fax: (209) 464-0138 Web.www.sjgcv.org/ehd <br /> !_�•�ath�;ii.,,_i,l'i:a l-.SP.I'�`fi <br /> PUBLIC- RECORDS RELEASE APPLICATION <br /> APPLICANT: 1 I r�I ' t I I BUSINESSIAOENCY: <br /> ADDRESS: (2 15--KC, U6 p„c,JC "y_ CITYfSTATEIZIP. <br /> PHONE(1)Y�j 1 ��] (e ��v PHONE(2): FACSIMIL.E:/4 �3 2 cm, 9Z ` `[ 0 2-C <br /> TEN TA77VE'APPOINTMENT DATE: Time: <br /> (Plows allow 10 business-days from dem o1-X& atbn eubmittal•'Tenexilva-on y-must be confirmed) <br /> ❑ CHECK BDX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> EWctranlclMormatlon: ❑ List ❑Map— Description, , <br /> FILE ADDRESS T END USE ONLY <br /> Street sbw Name City - <br /> 0 unn 1. <br /> 1. —LQ4-r' c. ( SfcUK {a hS5r {tjt Nov al r Cosp <br /> . 2. CV �� �I �r ! ✓ ���� �N,M I s. +N riM t�✓ UnN2 <br /> 8. rtr✓1M CL��/ <br /> j . <br /> 6 Unft 8 <br /> 6. <br /> 7. <br /> B, <br /> Unt5 <br /> 9. <br /> 10, <br /> Unita <br /> SpedBt Dau Ranee of IMormsU*A Requested: From to <br /> ENVfRONMEMAL HEALTH DEPARTMENT FILES <br /> 19W. <br /> TANK(UST)CLEANUP SITE(LOP) ❑hkbICAL WAFM FACILITY ❑SOLID WASTEFACII.ITYNEHICLE <br /> P SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRE TAM((AIONrrORI:OIREMOVAL) ❑FOOD FACIUTY ❑Op�yHALVtoTfdHAZARDOUS Ir1ATEfTINLB uNaTANK ❑CHICKEN RANCW Doe F DOLL ❑WASTEWATERTREATMENT PLANT'i ,"❑T P6Wr FACLnY ❑MoTahbTs- ❑PUMPER TRUCK(YARDICHEMCALTOLETS <br /> ❑POOUSPA ❑LAND USE APPLICATIONS ITER- <br /> I❑TATTOrJBODY PIERCING ❑COMPL4WRESPos$E RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAItAsLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUOINO HOLIDAYS) <br /> 1, Lkt M to ten addressee In the space above. Solan the type(a)of files from the flat above by chocidng the appropriate <br /> box(aa)l. At least one t11e type MUST be seleoted. Four to 1209146"138 or mag to the a ddb Indicated above Addnue <br /> rattgas will not be accepted-for additional assistance with file addresses,contact the EHD. Applications recelved after <br /> 3:00 prn will be processed the next business day. <br /> 2. The EHD will notify the applicant H any EHD 111as exist An appointment for review will ho confirmed approximately ten(10) <br /> days~receipt of application. The filar will be hold for a maxlnrum of five business days for review. Appointment* <br /> should be scheduled accordingly. <br /> 5. A fila ttwt Is actively being worked on by EHD staff may not be Immedla oJy avallable for review. A naw a pplkatIon meybe <br /> subtnftfed when the Cie Is available- <br /> 4. Any file not returned in the sena condition as released will be reorgantcad by EHD staff at the expense of the applicaft <br /> Futuro fila rwrlawa by the same applicant may requira a 4125 deposit prior to review. "'MOXCD AP&A,END USE ONLY <br /> Co ' rj� . dei) P t # `` XSI-1 2 l� I(S 01 -a SJ '(al <br /> Received Time Nov. 18. 2014 1 : 14PM No- 7582 C"En e(-ecLI.cT) Inc- A^Cnc:-�-1 PLzi, cf-�, I,, <br /> �':ic-l� SeCi e1•SF fid-- <br />