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06/25/2016 11:53 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> Ri a+ fit L iJ i J <br /> ENVIIiQNMENTAI, HEALTH DEPARTMENT <br /> iTelephone: (209)468600 -3st Main St. Stockton, CA 0 <br /> LT <br /> 34 0 Fax: (209)464-0138 Web:wywy,sjgov9 <br /> _Qr /eh <br /> I- `:r'':l i(:s�`- PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: J/Y1 cS n <br /> BUSINESS/AGENCY: � l� U�j;�r�Vir� <br /> ADI)RESS:Z-tv t o l fa CITYISTATE21P: �Li'1Al'f f- _ <br /> PHONE(1):� j y{D-(ppm PHONE(2): qZ5 "2-t�(o�CPO <br /> TEIVTATlVE*APPOINTMENT DATE: FACSIMILE; (` `loac3� <br /> (Please allow 10 business days from dais of application submittal-"tentative only-muetl be confirmed) <br /> CHECK BQX TO EXPEDITE REQUEST-5115 F E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 8U5INES5 DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE=J(4trTt' 2r <br /> Electronic Information: [] List[] Map,I)escrip ion: <br /> FILE ADDRESS <br /> Street# EHD USE ONLY <br /> Street Name City Unit 1 <br /> z. '455 cda. rvl c K i n <br /> 3. �'u ' <br /> unit 2 <br /> 4, <br /> i Unit 3 <br /> 6. <br /> 7, � Unit 4 <br /> i <br /> 9. —— ❑Unit 5 <br /> Specific Date Range of Information Requested: From Unit 8 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILPS to <br /> ©UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> ©OTHER CLEANUP SITE(NON,LQP) Q SOLID WASTE FACtLITYNEHICLE <br /> ) <br /> UNDERGROUND TANK(MONITORINGIREMOVAL FOOD FACILITY WASTE TIRE <br /> f�C]HAZARDOUS WASTE GENERATOR COG KENNEL I DAIRY <br /> 0TIERED PERMITTED FACILITY CI CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TATTOOIBODY PIERCING POOMO LISPA TEL [ PUMPER TRUCKNARDICHEMICAL TOILETS <br /> 93 MEDICAL WASTE FACILITY d OTHER(P u l LAND USE APPLICATION SITE$ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAB E OR REVIEW: I <br /> MONDAY-FRIDAY 8:00 AM-5:00pM(EXCLUDING <br /> 1. List uo to ten address s In the space above. Select the +h-,.*- <br /> ppr opiate <br /> box(es). At least one file tYpe(s)of files from the list above by checking the appropriate <br /> type MUST be selected. F o <br /> ranges will not be ecce ted- Q9)484-0138 or mail t e addrnco indicatedov Address <br /> p 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 EHO fifes exist. An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The flies 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 rstumed 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$115 deposit prior to review_ <br /> 5. if you need further assistance,please contact Diane Martinez,at(209)488-3425. <br /> EHD USE ONLY <br /> EHD 48.0E <br /> 5127109 <br />