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.■� Friday, October 09, 2015 12:52 PM JodiVanneman 415-479-3988 p.0I <br /> ■ r <br /> ■ <br /> rr <br /> ■ <br /> r r 6l� <br /> rril `�'—WSRN JOFIQUIN COUNTY EHOLOO NVAIEEt <br /> OCT 0 9 2015 ENVIRONMENTAL HEALTH DEPARTMENT ji� �o <br /> t868 East Hazelton Avenu6, Stockton, CA 95205.6232 <br /> Telephone: (200)4883 3d20 Fs.ec (209)dad-0138 Web: wvnv.s�anv.org lat-1d <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jodi Vanneman SUSINESSIAGENCY: EBI Consulting <br /> ADDRESS: 829 Tamarack Drive C(TYr5TATEJZIP: San Rafael, CA 94903 <br /> PHONE(1): 415-342-5144 PKONE(2): FACSIMILE: Ivannemanipmsbcelobal.net <br /> Please allow 10 business days from data of spplicetion Submittal for the records to be avaRSble. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CkECK BOX TO EXPEDITE REQUEST-9130 FEE(CASH OR CHECK ONLYI-REQUEST PROCESSED IN 3 BUSIN€SS DAYS <br /> SIGNATURE OF APPLICANT ---- DATE 10/09/2015 <br /> Eleetronle Information: ❑ List El Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Streets Street Name City ❑Umt7 <br /> t 75 West Val Ico Road Tracy L�JI L <br /> 2• 171 Unit2 <br /> nn <br /> a. <br /> 1. <br /> a. <br /> unn s <br /> uor <br /> sDeelne one Range of inletrnmlon Rtauesied: Flom e0 <br /> ENVIRONMENTAL NEALT DEPARTM TFILES <br /> ®UNDew.A erwDTANR(UST)CLemupsrrE(LOP) ❑REDKU WAsrEfhCLrrV ❑soLiowAsrErAcLITylV wAc <br /> ®Owe CLEMVP SITE(NCN-I.OP) ❑MOUSM ARATEWNT ❑WASTE TRE <br /> ❑Uh hemondrNb TANK(MONNORDWMA YAL) FOOOFAOARY aDAIRY <br /> AaovEGR uNn TALAR Cw mx RANcw DOG KEw let WASTEWATER TREArw kT PLANr <br /> ❑HAZARDOUS WASTEMAZARDOUS hLtTEa7ALS ❑LLOTEL/HOIEL PUNPER TL'UCKJYARD:CHENCAL TGU79 <br /> 7ERFD PE RNrfTE D FActm POWSPA LAK USE A?KrAriok UTE& <br /> TATTOO'BOOvPERCNO COrrDt.ADiT7RESpOwSERECORDS OTWR(PLEASE SPECFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 ALAS:OOPM(EXCLUDING HOLIDAYS) <br /> t. LISt Up to len addresses In the sjeaee abays. Select the type(%)or tiles Rom the test above by CMeking the apprdpnals <br /> box(as). At least one file tylia MUST be selected. fo"ci yr mQP_to the addres7 tndreated above. Address <br /> ranges will not be accepted.Applications reCllved atter 3:00 pm will be processed the next bus lness day. <br /> 2. For as%lstance In identifyino line nature and content M 9 H records,please contact EMD at the number noted abort. <br /> 3. The ENO will netOythe appll=nt tr any EHD files 61111. An appointment ror review Aril be confirmed approkimately ten(10) <br /> days agar receipt of application, The Rlaz will be held for a maximum of Rver business days for review. Appointments <br /> should be schedulW accordingly. <br /> 4. Any Mt not rettimod In the some condition as releaeW will be,re irgani%ed by RHO Zia"at the expense Of Lha appricani. <br /> Future his reviews by the same applicant may require P 11130 depose prior t0 review, "'BOXED AREA•END USE ONLY--' <br /> El Rerrorda provided y Staff-Pitillt Corripiata.suit Name: <br /> EIC MLe 094 144 <br /> Received Time Oct. 9. 2015 12 : 53PM Nio. 9144 <br />