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1u11s1 �g15]04392659 412094640133 2 <br /> DATE RECEFVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> (' 3 2010 _NVIRONMENTAL HEALTH DEPARTME. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6;cd2 <br /> �f sViFiO;B y�, i f,i H-EA TH Telephone: (209)46"20 Fax: (209)464-0138 Wqb:www.Sigov.org/et d <br /> PER,1�.lTfXp,VjCES PUBLIC RECORDS RELEASE A OLICATION <br /> APPLICANT: C11 BUSINESS/AGENCY: PAhtj-j. 'E,�. <br /> ADDRESS: \�\ Pr-�z. S'f -+� CITY/STATE/ZIP: �,,��„� F�►rK.�Sc p fig► 44111 <br /> PHONE(1): -tot S7A ,%TZjN PHONE(2): FAX OR E-MAIL: <br /> Please allow 10 business days from date of appkatlon submittal for the records to be I le. <br /> Staff will contact you to orange an appoinhnent date and time to review the requested tf. !�'0 p y <br /> ❑CHECK BOX TO EXPEDITE REQUES -$139 OR CHECK OtVLY)-REQUEST PROCESSED IN 3 B E PAYS <br /> SIGNATURE OF APPLICANT DATE la/13/1(0 <br /> I. Ust up to ton addresses In the span . &Gict the from the Nat below by chocking the a propristo <br /> box(os). At least one file type MUST be selected. Fpx to(209)464-0138 or maH to the address Indicated above Address <br /> ranges will not be accepted.Applications received after 3;00 pm will be processed the next business day. <br /> 2. For assistance In Identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applkant If any EHD files exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The Ales will be hold for a maximum of five business days for review. Appolntments <br /> should be scheduled accordingly. <br /> 4. Any Ale not returned In the same condition as released will be reorgantzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of information Requested: From Ate- to � <br /> ENVIRONMENTAL <br /> HFJu-TM�s TME►�r FILE ADDRESS EHD USE ONLY <br /> UhvExc.RwND TAw(UST) Street 0 Strut Alamo City <br /> CLEA1AlP SITE(LOP) ❑com"WA <br /> OTHER CLEAM,PSTTE(Nei-L ' 231 D. <br /> 4 awy <br /> HAzARDoua WASTE <br /> Tri F'ERMrrrm FACIilTY 2 <br /> O <br /> ADovEaaaarD TMtx <br /> UST(Marrrow+o/REMovAt) [3pyy9 <br /> HAZARDCLo MAT�i W S 3 <br /> SPaL/RaEASE REa sE <br /> ❑SOLD WASTE FAcLrry/VEHK3-P4 WATm OtAutY <br /> ❑Fooc FACLTTY <br /> ❑Pool/SPA 6"M)GATxw <br /> ❑oAa,- a <br /> ❑ <br /> LAW USE APPLICATION SffFS <br /> ❑SEPTA-PvIAM TftCK/ ❑Hatswv <br /> YARo/CIIa/cAL Tama <br /> ❑WASTFWAT61 TREATMENT PLANT <br /> ❑HouSNa ABATEMENT , CUPA <br /> ❑AAOTEih�01FL <br /> ❑GMCI(ETI RAHCl1/DOG KEH18 / CUPA•UST <br /> ❑MmrAL WASTE FACuTv a <br /> ❑TATTVWBODY PUIrAW <br /> >'V—TRF Bac WASTE <br /> ❑C.OMPLANT <br /> ❑or EFOkEASE SPECIFY): <br /> 10 ❑ACCOUNTING <br /> "'60XW ARlA-pfD use ONLY"' <br /> ❑Records orovided by Staff-PPR Conwlets. suff Name: <br /> Received TI'm e=0c t, 11220162 9 : 20ANFNo, 0152 <br />