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%Ewa F-40 LOG NIJM8EFZ <br /> SAN JOAQUIN COUNTY <br /> ErvIRONMIEN TIAL HEA,,_Tt4 DEPARTA,111ENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telep"-ne- ;"M 468-:33420 Fax: (209) 464-0138 Web- vvvw.,.sjgcv.org1e5d 9 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: k ?4.1 V_, /.%_S 8 LISI N ESSIAG ENCY:� -1= ( <br /> ADDRESS: '135b TosgLA <I- CITYISTATEIZIP- T3tqVP <br /> , , -],-o- - tj� IPHONE(2).' - <br /> PHONE M: <br /> TEN TA T/VE"APPOI NTME NT DATE: Time: <br /> —1 ---- <br /> (Pieabe allow 1D Wziinass days tram date of_ P P mWfloll stibffAttal-17ealauvViLmIly-must bf.60nlla� <br /> F1 C14E.CK BOX To EXPEDITE REQUEST-$126 F:Ee(CASH OF CHECK ONLY) REQUEST PROGE83EO IN 3 SUStNESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> jEIe,C..tr01niGInfonnaV1on: List 0 -Ma' Description: <br /> Map <br /> FILE ADDRESS EHD USE ONLY <br /> City Ll UnitI <br /> st"i V <br /> 2. qq5_ rj I.P Lood _. Or% E!Unit 2 <br /> 3. <br /> :Intl <br /> 4- 93��I lit z <br /> 1A <br /> (Yee, A4t t1rift4- <br /> 7. <br /> [a unit r. <br /> 15 <br /> Friar.- <br /> EN\nROMMENTAL HffALTHDEfj5_A_P_TMENT FILES <br /> %_ []MEDICALWASTEFACILMY fg_S0!_M WASTE FAVILITYIVEWCM� <br /> Dv-RGRo ut�m T A M K(tv'ST)C M PJ Fy S IT E 0 P) �?WAsTE TIRE <br /> 910) eR r-B. up SITE(NON-LOP) El HousiNG ABATEMENT E]DAIRY <br /> r,,), TANK(M0.01r0RTqGMRJ10VAQj ❑FOOD FAMU'rY <br /> ,P <br /> ,nr <br /> �4D zobtlD TA E3 CACKEN RANcW Dor,KENNEL $PASMATER TREATMENT PLANT <br /> 2ABOVEGRMNDTANK ❑ F1 -wi- <br /> t US MATERIA�Sr El Mc-TEUVaTM Pu ERTRu <br /> ,JjLjARnQUS'.YASTl1HAZARD0 LAND USE APPUCAPM BITES <br /> E] <br /> ED PERMITTED FACiLrrY POOLISPA T1 PSES <br /> r 0 HER(PLEA - PECIM <br /> 0 TATT0011300Y PIERCING <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FMDAY 8-00 AM-5:00PM(ExCLUDING HOLIDAYS) <br /> in the space 2b.OVO. Select the tYPe(s)Of files from the list above by checking,the appropriate <br /> box(es). At least one file!type MUST be selected. Fax to 209 464-01'38or 'd to the address Indicated above. Address <br /> ranges'W.1 I rrut be a t -far addifiGnal assl$tzincee with f110 addresses,Contact tt-u ESD. AppflGatlons r0cuived after <br /> =C-Pcd <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD Will notify the appficant 1f any E1413 files exist. An appointment for review will be confirmed appioxinlatOlY ten OU) <br /> d ays after receipt of application. The files will be hold for a maximum ol five business days for review. Appointments <br /> StIoUld be SC-h.ezLiUled.ae t <br /> _c_erd7ngjy. review. Anew application maybe <br /> 3. A file that is actively being worked on by Etil)staff may not be Immediately available for <br /> submitted tither: tide fife is ava4able- <br /> 4. Any file not returned in the same condition as released Wil be reorganized by EHD staff at the expense of the applicant. <br /> FLIture file,avlevvs by the same applicant may require a $1255 depos-i*.pricir tc revieW. <br /> LY S14112 <br /> -i-A <br /> Received Time Feb. 15. 2013 11 :50AM No. 2326 <br />