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SEP-26-2013 THU 11 :30 A Moore Twining Associates FAX K0, 559 268 7126 P. 02 <br /> DATE ECEIVED <br /> RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT gal <br /> SEP 2 6 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 no <br /> Teleph ne: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> E1IMRONMEM'ALNEALTH UBLIC RECORDS RELEASE APPLICATION <br /> P <br /> APPLICANT: P LJ; ^rcL,-.e-Z BUSINESS/AGENCY: <br /> ADDRESS: �es�o S���cam- CITY/STATE/ZIP: Fie i„e+ c el. 202 <br /> PHONE(1). (5 s1) 2. �p - 7v2( PHONE(2): (Ssg) 278-y&I-) <br /> FACSIMILE: 2r_ <br /> TENTATIVE*APP INTMENT DATE: /D 16 //3 Time: /D:'e_�o/.},M <br /> (Please allow 1 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPE ITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLIC NT DATE /G / <br /> Electronic Information: List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name <br /> City 1 <br /> 0 <br /> 1 <br /> F_ <br /> S� �do� MI (� rqu <br /> 3. �Lf 20 Fred t2�Ss� <br /> 4. <br /> 5. nit 3 <br /> 7. -t1_nIt4 Cl <br /> 8. <br /> 9. ❑ Unit 5 <br /> 10. , ' <br /> units <br /> Specific Date Range of Information I tequested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ENDERGROUND TANK(UST)CLEANU 3 SITE(LOP) ❑MEDICAL WASTE FACILITY Ea'SOLID WASTE FACILITYIVEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> [r—�UNDERGROUND TANK(MONITORINGI EMOVAL);� ❑FOOD FACILITY El DAIRY <br /> LTJ ABOVEGROUND TANKS ❑CHICKEN RANCH/DOG KENNEL <br /> ❑WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTEIHAZARDOUS MA ERIALSD ❑MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY()LWCOMPLAINTIRESPONSE <br /> OOUSPA E]LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT REC RDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in th space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file typ MUST be selected. Fax to(209)464-0138 or mail to the address Indicated above Address <br /> ranges will not be accepted- or additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed th next business day. <br /> 2. The EHD will notify the applic nt if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of applicati n. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordi gly. <br /> 3. A file that Is actively being wo ked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is ava table. <br /> 4. Any file not returned in the sa a condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the sam i applicant may require a$125 deposit prior to review. !w or USI=QNGY <br /> .. ....i•-. .._......_.._J_5.....__•..... ...-»..._......._..'. ........__. .. -- ..t'ti^:::::-:�:'::C.a�u::��:'�y�:.Yi.J. r:':I�'._•.»':.': _:1:_:r..._'��i:: ,c <br /> r•- <br /> R rT ds. r _ .........__ _ <br /> _....._...fl.....__......._... .. .......... ...... . ems .. .... _ - <br /> _.... - <br /> EHD 48.08 _ :::. .: '..-..,:�.'- ':'';�.• : .":�;g....;. <br /> Received Time Sep. 26. 2013 11 :22AM No, 4154,n�J- -$5 t xs3-62 714 Vr <br /> a F <br /> oW5 le�• VA <br />