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From:Marcus Bole K Associates ---.. lD;111 /17/2013 18 :21 #014 P.001 <br /> .t eekVIV a ...,' <br /> JISCEIVED SAN JOAQUIN COUNTY EHD60� MBE <br /> <) <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Nov IS 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> WVPERMME TALHEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: pf+✓I D �dLL BUSINESS/AGENCY: 9-a R ,3 07! <br /> ADDRESS: 10 `l le2act CITY/STATE/ZIP: k/I/zFfrZ_*Ao, c.4- VSW,1 <br /> PHONE (1): moo- &_-�3 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: j I ( Time: I/ <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must.be confirmed) <br /> CHECK BOX TO EXPEDITE REQUE -$125 F (CA O CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> ���ii< DATE l I <br /> Electronic Information: ❑ List❑ Map—Description: - <br /> FILE ADDRESS EHD'("s,�, L <br /> Street# Street Name City Unit 1 <br /> i <br /> �2• 15 3 - r' [9A1 IJP ❑Unit 2 `�3. 0 IL S.. W I Lsv i✓4. 00 E .MA N Sr Ct T il/ 7- P Unit 3 <br /> 5. p �/la <br /> s C <br /> / <br /> Unit 4 <br /> 7. <br /> jg <br /> 8. <br /> Units <br /> 9. <br /> Specific Date Range of Information Requested: From f=j /* I Z-1N,1 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILITYJ)V^EHICL <br /> HER CLEANUP SITE(NON-LOP) El HOUSING ABATEMENT WASTE TIRE 14 �I't's C(f 1 <br /> � U DERGROUND TANK(MONITORING/REMOVAL ❑FOOD FACILITY ❑DAIRY <br /> 7J_9 ABOVEGROUND TANK r1� ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> TIEZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> RED PERMITTED FACILirY`)'` ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING OMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above 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 files exist. An appointment for review will be confirmed approximately ten(10) <br /> 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 is actively being worked on by EHD staff may not be immediately available for review. A new 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. '�r'V.'BOXED„AF�EQ�=EHD., BE*WN <br /> 4 � i <br /> 1 <br /> L7RecflrN DR' sffName't `� Q y ; <br /> _. <br /> .r ... <br /> EHD 48.06 9/4112 <br /> Received Time Nov. 17. 2013 5: 19PM No. 4549 <br />