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Sep, 4. 2008 3: 18PM No. 0169 P. 2/3 <br /> DATE RECEIVED EHD LOG NUMBER. <br /> SAN JQAi'�UIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 1 q97000 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: WWW.sjgov.orglehd 3 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; d n 'f3L k BUSINESSIAGENCY; Advance) G�,�"" <br /> ►>,v1Y-f1 <br /> ADDRESS: Z20 E. CItylStatelztp 3345 <br /> PHONE(1): L0(9I r-'A q L< PHONE(2): _ FACSIMILE: I,(-3a5-1u IL. <br /> TENTATIVE*APPOINTMENT DATE: 5 V' 1 ' 2-CDR T[ma: I I r <br /> (Pleas®allow 10 bwainess days from data of application submittal-'Tanlativa oniy-must bs confirmed) <br /> CHECK BOX TO EXPEDITE RE U MT-M]2rK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNA��,TURE OF APPLICANT DATE 41 <br /> 1Z 2_00a <br /> mectronic Information; ❑ Lis Map-Deacrlptlon: <br /> PILE ADDRESS EHD USE ONLY <br /> Street# Street Name Cit ` <br /> 4 141 - h E] Unit 1 <br /> z. S'7( o It <br /> 4. nit 3 <br /> B. Unit 4 <br /> 7. <br /> B ❑ Unit b <br /> 9. <br /> ❑ Unit 6 <br /> 1 Q. <br /> Specific Data Range of Information Reque3ted; From to <br /> ENVIRONMENTAL HEALTH L)HPARTMENT FILES <br /> lf1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q ROUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> t4OTHER CLEANUP 9ar:(NON-LAP) ❑FOOD FACILITY 11 WASTE TIRE <br /> R.UNDERGROUND TANK(MONITOWNGIREMOVAL) ❑DOG KENNEL 17 DAIRY <br /> IA HAZARDOUS WASTE GENERATOR a CHICKEN RANCH 0 WASTIEWATBR TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL d PUMPER TRUCKIYABOICHEM TOILETS <br /> TATToolftoY PIERCING ❑POQLISPA ❑LAND USE APPLICATION SITES <br /> f <br />