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'i Dec, 11. 2013 9 18A No, 0818 P. 1 <br /> I ■ <br /> ■ <br /> I■E DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBFR <br /> i� ENVIRONMENTAL HEALTH DEPARTMENT <br /> � 1888 East Hazefton Avenue, Stockton, CA 95206-6232 <br /> Telephone: 209 468-3420 Fax: 209)464-0136 Web:www.sjgov.orglehd <br /> DSC •� t� �Q'\3 .. <br /> PUBLIC RECORDS RELEASE APPLICATION ` <br /> EIUSINESS/AGENCY: .S o � <br /> / #REBS; 15„ 0 5• r ec- _ CITYISTATF'01R,,µ„y�.,p�d( , C./�k 943 V/ <br /> PHONE(2): FACSIMILE:&5 ;rff -5 !9 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Pleas*allow 10 business days from dirt•of appl cation submittal-•Tentotivo only-must be confirmed) <br /> :A` CHECK BOX TO EXPEDITE REQUEST-$126 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE t o/r3 <br /> Electronlc lnforrriatlon: .❑ List❑Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> r,n <br /> gt stmat Name City EUnit <br /> c t S'I k{bn <br /> o.,r I tr <br /> Zr 8`I �c Lem + Sfook- ��- <br /> 730 <br /> 4: -7► NG'� �fa,Flc Ruud S mak + Unita �J <br /> • i. 473 N•'w�'�Yi�,T fVwj L�fr. Vl s <br /> Zlunit,il <br /> vo <br /> //erl <br /> Unit6 <br /> 9pecl8c Dats Ranee of Information kequeated;' From l to <br /> ENVIRONMENTAL.HEALTH DEPARTME f f ICFs � �J��**�� <br /> UNDERGROUND TANK(UST )CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE'b=/`{(/G' <br /> OTHER CLEAt1UP SRS(NON•LOP) ❑HOUSING ABATEMENTFWLPJ <br /> AM TIRE <br /> UNDEROROUND TANK(MQ,NTTORINOIREMOVAl_) ❑FOOD FACILrrY AIRY <br /> Ac6VE6ROUNDTANK El CHICKEN RANCH/DOG KENNEL ASTEWATERTREATmW PLANT <br /> HI�RDOUSWAsTEIHAZARDOUSMATERIALS ElMOTELIHOTEL UMPERTk0cK1YAR01CHElNICALTO[LM <br /> %,",ED PERMITTED FACILITY Q PODLISPA AND USE APPLICATION SITES <br /> I b-ITOOGODY PIERCING COMPLAINTIRESPONSE RECORDS El OTHER(PLEASE SPECIFY) . <br /> WELL Mn SEPTIC PERMIT REC0kD3 ARE AVAILABLE,FOR REviEw: MONDAY-FRmAY 8:00 AM.5:00PM(EXCLUDING H61_IDAYS) <br /> 1, 1-I0 up to!qnaddreisseiln the space above. Seleot the,type(s)of files from the list above by checking the appropriate <br /> bcx(es). At least file type MUST.be selected. Fax to(209)464.0136 or mail to the address indicated above. Address <br /> r2n&s will not be accepted-for addltlonpl assistance with fila addresses,contact the EHD, Appl(catlona received after <br /> pm will be processed tho next business day. <br /> 2 ^..e EH1)will notify tho applicant If any EHq flles exlet. An appointment for r0VIAW will be confirmed approximately tan(10) <br /> ,,)s after receipt of appllcatlon. The files will be hold for a maximum of five business days for review: Appointments <br /> ;.:jiuld be acheddled accordingly. <br /> 3. I,The that Is actively being worked on by EHD staff may not be Immediately available for review. A new appllcatlon may.be <br /> E_-bmltted when the filo Is available. <br /> 4. 1,..f file not returned In the same condlHon as released will be reorganized by EHD staff at tha expense of the applicant <br /> r';:are:file reviews by the same applicant may require a$125 deposit prior to review. :.at PR J <br /> 7. <br /> ..F <br /> :�;-i �, 'i�;; _•��E��. ;of ,"�:' . ,rr. , t.�s'r:;�. <br /> -- �r� .,�..��• — .r. ,! .i,. t. a:iTt+_ •L,eY.r:'C;i.1G' <br /> 1 <br /> L: <br /> • <br /> b _ <br /> _ b 1ded:b �®taf=pPF't.Com Iettj cBtaH.Nam c ' ,.�; ��. <br /> 14112 <br /> Received Time Dec. 11. 2013 9: 24AM No- 4742 <br />