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Feb. 15. 2013 10:49PM Geo.con No. 0730 P. 1 <br /> I� GATE RECEIVEDSANJOAQUINCOUNTv EHD LOG NUMBER <br /> E <br /> .,.�. <br /> yt� ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 1 5 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 n <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVI;iONMEWiALPM-TH PUBLIC RECORDS RELEASE'APPLICATION <br /> oG=t°f I f14T=1�VIt:�S <br /> APPLICANT: yA/A ,-uta ` ai, BUSINESS/AGENCY: gc0[yf.A CMC_0 L4_01^+_. <br /> ADDRESS: 31(00 601j1I Aa W`�J�,f.Vl StZAp. 2jjo CITY/STATE/21P: t llso ,T Cnva1�� T 7YL <br /> PHONE(1): c/(f4 -g$2-9 ff Sf PHONE(2): FACSIMILE: qt(,- -T132_ <br /> TENTATIVE'APPOINTMENTDATE: Al 1 ,26 Time: q:dUo-.H <br /> (Pleaca allow 10 bualness days from date of application submittal-•Tentative only•must be eonflrmad) <br /> ❑ CHECK BOX TO EXPEDITE REQ EST-5125 FEE(CASH OR 0 LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-LI5 [1 <br /> Electronic Information-. ❑'List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ElUnitl <br /> r2.4. <br /> i1 D -TWl Unit 2 lc In <br /> QO 1� _. u11r <br /> nit3 4 <br /> 6. / 21 unst4 <br /> 7. 760 <br /> 8. q,70 - D(.1 I)jrN iY Unit <br /> 9. <br /> 10. 1 ❑Units <br /> Specific Date Range ofinformation Requested; From / f /150 to 2 />?G/:1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> r�NDERGROUNDTANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUYVEHICLE <br /> Ddv�HER CLEANUP SRE(NON-LOP) HOUSINO ABATEMENT ❑WASTETIRE Irfi for I 3' <br /> DERGROUND TANK(MONnORiNGIREMOVAL). rl Fnnn Il ITY r1 DAIRY 1.0 3-1-1� <br /> L�/IBOVEGROUNDTANK JIc� Coxn Jw )-" f-T le A/. <br /> FIC3FAZARDOUSWASTEIHAZARDOUSMATERIALsf7 107,17141JkAG�-ncl12— ; 600_7773L-1 <br /> 15 35DUS, 35py(�t <br /> ❑TIERED PERMITTED FACILITY <br /> ❑TATTODIBODY PIERCING 2 wq' -35314 qQq V- <br /> WELL AND SEPTIC PERMIT RECORDSAREAVAIL°f(t-BM ntn #•LQQ23-4A1 fi iS i/l TWL. H-W -e l- <br /> 1. List Un to ten addresses in the space above.s�(� ).S ,s� ,rq��nf <br /> box(es). At least one file type MUST be salol roo-?a, of Opt" 535 F�Ca✓hf'nu10�.-)ing� /rte <br /> 04Oaa <br /> ranges will not be accepted-for aconionala� n 'T ° . "5 t rDm)55Z.1 Slo(o) <br /> 3:00 pm will be processed the next business fDr ti0N Zc h.)r f� <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for revie To view the HMMP(Hazardous <br /> days after receipt of application. The files will be held for a maximum of five bw Materials Management Plan) go to the <br /> should be scheduled accordingly. <br /> 3. A file that is activefy being worked on by EHD staff may not be immediately avail following website:www.sjoesdata.org <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD suu a��:_=.K= :�=..: . =arr•v <br /> Future file reviews bye same applicant may require a$125 deposit pribr to review. Bopp AREA';EHD USE Q)JLY <br /> :H•: .:,. <br /> A' JAI <br /> y. � <br /> 76- yr <br /> D Rec `prpWded by!Staff-Pp :: oifilPlefe.staff Nafne ; .i . ;;;x' : : ;`>;:; ` `., <br /> ReceivedTime Feb. 15: 2013 10:47AM No. 2 >'y 13` rUv.dP u/x�tu I ► f // J <br /> ff M11/1 t hl('y,' 100 7r 1'y�;)'ll Zeill, r it- W, 4 44ida_Ord,,—700 t�l'u5 i ,Y t OZI -I'i'I6Wg) lZ, 1:9 <br />