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k <br /> Mar/2812013 1230:52 PM Salem Engineering Group Inc. 408577109e 111 <br /> EHO LOG NUMBER <br /> DATE REG 4D a y' <br /> SAN JOAQUIN COUNTY <br /> rah' .�f �s � JZ P,.d <br /> � r3 ENVIRONMENTAL -{EAI:TH.DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232_ <br /> � � p�tone: (209) 488-3420 Fax: (20$)464-0138 Web: www.&jgov.org/ehtf <br /> 9 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESSIAGENCY: TRW <br /> ADDRESS; SVI�e.�-- . CITYISTA'TSIZIP: <br /> PHONE(1): <br /> 6tObtqq, $r7 PHONE(2): FACSIMILE: <br /> TENTAT/VE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of appilcat on Submittal-•Tentative oNy-Suet ba confirmed) <br /> CHECK BOK TO EXPEDITE RE E T-yi26 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE n3l'LY�l� <br /> Electronle Information: ❑ List Ej Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY . <br /> Street Street Name city F1 Unit 1 <br /> 2. 4 Tt " iq El Unit 2 <br /> 3'. AI <br /> 4. , it 1 1(Z / li unit 3 <br /> 6. <br /> 6 lfnit4 <br /> 7. <br /> 4' <br /> U Unit S <br /> 9. <br /> 10. nit a <br /> Specific Date Range of information Requsoted: From ALA,` tO <br /> ENVIRONMENTAL KEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(GIST)CLEANUP SITE(IAP) ❑MEDICAL WASTE FACILITY SOLID-WASTE FACILTfYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) <br /> 0 HousINO ABATEMENT WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL {]WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MoTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOILETS <br /> TIERED PERMITTED FACILITY POOLISPA ❑LAND USE APPLICATION SrTES <br /> ❑TATTOOISODY PIERCING ❑COMPLAINT/RESPONSE RECORD3 ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS AIRF-AVAILABLE FOR REviEw: MONDAY-FRIDAY 8:00 AM-S:40PM(EXCLUDING HOLIDAYS) <br /> theapace above. Select the type(s)of flies from the llat above by checking the approprlaie <br /> box(es). At least one flie typo MUST be selected. Fax to(209)M4- 38 gC mail to the addresa indicated Shove. Address <br /> ea will not be accepted ted-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. Appointment* <br /> should be scheduled accordingly. <br /> 3. A filo that Is actively being worked on by EHD staff may not be Iminedlately available for review. A new appllcatton may be <br /> submitted when tho file Is avallabla. <br /> 4. Any file not returned In the same condition as released will be reoeganlxed by EHD staff at the exper�ae 4f the appElcont; <br /> Future fila reviews by the Gama applicant may require a$128 deposit prior to review. <br /> 4• <br /> .. .. ...... . ....:.:.:......:....t. ..,... 'x.1':1 a.'J'1 J.:l.� <br /> i} <br /> .. Y <br /> //��I ��i'0.011'.{y �.yy�• <br /> a.✓ .t1 P .!. l•• <br /> EHa"-ue t <br /> Received Time Mar. 281 - 2813 12 : 31PM No. 2694 <br />