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rom:GEOOSSyntec ConsulteFax:(916 55 9498 -o: 2094640138@rcfax.con Fax: +12094640138 a 2 of 2 2/12/2013 10:05 <br /> IFV EHD LOG NUMBER <br /> aaaa SAN JOAQUIN COUNTY <br /> AUG-12 2013 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EWRoNmENTALIff jhone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:L-ir•:�� Hws . . <br /> BUSINESS/AGENCY. <br /> (;"c v^ + <br /> ... 2 C� <br /> ADDRESS: _���i� C•-�6i.9 CG.,,,�,t '�r:.,� _ _{ CITY/STATEfZIP: <br /> PHONE(1): �jG 6,..5? ONE... 33 PH (2): �,� S�{G( (,�� FACSIMILE: �� 2 <br /> {/ <br /> TENTATIVE"APPOINTMENT C},4T :': t�P 63r 4&'r. Tjrn.6 <br /> (Please allow IQ:bualnags days from data.61:bopficattob.itibml.ttall-'Tontat/vadrily-Tnustbe confl Ned) <br /> [� CHECK BOX TO EXPEDITE REQUEST- I., (CASH OR.CHECK ONLY)-REQUEST PROCESSED IN..3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Y DATE <br /> Electronic Information: ❑ List❑Map.—.Description: <br /> FILE.ADDREStt <br /> S . ... END SE ONLY: <br /> Street# ? Street Name c city <br /> 2- Unit 2 <br /> 3 I <br /> -- . ... <br /> 4. ::: .. ... ...... 2°�S� int <br /> 5 �� <br /> I I <br /> ,............ . ... ..... ....... _.._._.. -- -............_...__...---- ..... <br /> _Unit 3., <br /> y � � <br /> i <br /> S. ' 1 2i ir/ A.T' I r (.' Shy/1 3 D Unit 5 <br /> 9. : � . <br /> 10. . ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [:).MEDICAL WASTE FACILITY [ SOLID WASTE FACILITYIVEHICLE <br /> :OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) El FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ffHAnR00U9'W-,�8TE1HAZARDOL1S MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TFEAgo P'ERMiTTED FACILrrY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS.) <br /> 1. List urs to ten addresses In the space above. Select the type(s)of Tiles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-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 ENO 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. 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 returned 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$125 deposit prior to review. soXED7IREA, EHDSE1LYf <br /> f , <br /> z 2 <br /> } <br /> ` 1..7� M � !i irfi n.x r r :-2 r�•irs- r 1 _ t J y , /(. <br /> .-.! qt .av db j , _ N v1 r` zL. t ., u• 5 t _�t - t t: t .- <br /> ,5__^».__,5. t.,'o-;)x�'�,a�r4 Kay'ri°v.-i 11:r L vfF � r�-aca c k�'•xc�•, r�- .t..:5 .t _ y _ _ _ —_ <br /> T .,;! r R P ���y ,S}!•fs5�.�C1��r a1C-� .� 4 .'.di a a_�Cp� !! ^'r Z .� - r - 1L �' `' : -It� Yy�� t t:� iJr� s- ! <br /> - <br /> � <br /> - <br /> EHD.48.05 <br /> V411 <br /> Received Time Aug. 12. 2013 10:05AM No. 3852 <br />