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�I <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 3 0 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone. (209) 4468-342q Fax: (.200) 464-0138 Web: www.sigov.org/ehd <br /> E VIM0W--h %ff?d_HEAU'Ff <br /> � vlT� 1 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESS/AGivNGY: ���°�r�`t <br /> ADDRESS: f�mFrl �k"r ZZ. CITY/STATEILIP: J'kh .,[; � �a <br /> PHONE (1): — S- ( PHoIE/(z): FIs-� �d8 FACSIMILE: S ,71?70 <br /> TENTATIVE*APPOINTMENT DATE t f� '-j.. f CAS tnf��'I;_ Time: <br /> (Please allow 10 business days tram date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO-EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT y .> _ DATE ,S�V,3 <br /> Electronic Information: ❑ List❑ Map—Description:. <br /> FILL;ADDRESS EHD USM ONLY <br /> Street N Street Flame CRY ' ❑Unit i <br /> 1• �a it <br /> 2. <br /> Unit 2 <br /> 3. <br /> d. 'V <br /> ' unit 3 <br /> � � <br /> la Unit 4 <br /> 7 <br /> 8 <br /> ❑Unit s <br /> 10. Unit 6 <br /> Specific Data Range of Information Roquastaci_ From to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY []%OLID WASTE FAco-1TYNEHICLE <br /> i OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> BABovDERGROUNo TANK(MONrrORINGIREmovAL) ❑F000 FAClLrry ❑DAIRY <br /> EGROuNo <br /> [ TANK ❑CHICKEN RANCHI Doo KENNEL & '*ASTEWATER TREATMENT PLANT <br /> I,sRHAZARDOUS WASTbHAZARDOUS MATERALS ❑MOTaJHOT13, ❑PUMPER TRUCKIYARD/C14EM1CAL TOILETS <br /> L FRED PERMITTED FAC1L]TY ❑POOLISPA ❑LAND USE APPLICATION WES <br /> al ❑TATTD019DDY PIERCING RtOMPLAINTIRESPONSE RECORD' ❑OTHER(PLEASE SPECIFY) <br /> i WBL4 AND SEPTIC PERMIT REcoR05 ARE AVAILABLE FOR REv1Ew: MONDAY-FRIDAY a:00 Alum-5:00PM (EXCLUDING.HOLIDAYS) <br /> t 1. List up to ten addresses In the space above. $elect the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type FAUST be selected. Eoxc to(209, 464.01313 or mall-to the address Indicated alcove_ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day- <br /> 2. The EHD will notify the applicant If any EHD filen exist. An appointment for review will be confirmed approximately ten`(10) <br /> I days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly, <br /> 3. A file that le actively being worked on by EHD staff may not be immediately available for review. A now application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review, —BOXED AREA-m;Hp USF.QNL,Y" <br /> .. .,_•_"__.___".___I"1.:h,F�-'lz--"-`a:]rWCh:iic., __:..-, tv-.-...J.t,...�.�_.� ..F.:,-. /.....,rte ....... .--.:_:::: - - - - <br /> ..-__"_ �._..., -..T "____""at:w^'...Mn.,•...-_........,,..r.-..«..y.._,....... i,......_;-,,-_.,_ <br /> DR I .' 3G?KI nrfe, .. <br /> Received Time May, t30, 2013 4: 14PM No. 3231 - 9)4rF2'. <br />