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DANov. 22. 2013 9: 16AM No. 0778 EFP. 73 NUMBER � <br /> SAN JOAQUIN COUNTYRECE <br /> IV ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Nov 2 2013 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: WWW.Sjgov.orglehd <br /> a �F PUBLIC RECORDS RELEASE APPLICATION ` <br /> ENVIR®NMgML LTH <br /> - RMIT/Igg����VIO S <br /> A [tcANT: h C BUSINESS/AGENCY; �;Invi POnMeM <br /> ADDRESS; 033 F �S' CITY/STATEIZIP; w <br /> PHONE(1); SI0"�-�7-�TB > 2-PHONE FACSIMILE:S'66 -&'?G S_'3g`7 <br /> TENTATIVE"APPOINTMENT DATE: I�L_3 - 13 Time: <br /> (Please allow 10 business days from data of application submittal-*Tenfa(Ive only-must be conflrmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$1;5 FEE SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSfNESS DAYS <br /> SIGNATURE OF APPLICANT DATE �P-a 13 <br /> Electronic Information: ❑List❑ Map•-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city r-1 I I-it 1 <br /> NMDA P <br /> 2• I��� �r2 C C^C.f� �- W�'• �Unit 2 <br /> 3. I SW a NDS Cabe arid•9 '• <br /> 4• l&-7 Erunit s <br /> 5. I tQ <br /> 5• 1-7t7 W �_ MN(P Unit4 <br /> 7, <br /> 8• ❑Unit 5 <br /> 8. <br /> 10. ❑Unit$ <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> N <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) [-]MEDICAL WASTE FACILITY El SOLID WASTE FACILITYIVEHICt;�1•� <br /> THERCLEANUP SITE(NON-LOP) El HOUSING ADATEMENT ❑WASTE TIRE ! <br /> UNDERGROUND TANK(MONITORINGIR�MOVAL) [I FOOD FACILITY ❑DAIRY /�q <br /> 130VEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT ►1• I <br /> AZARDOUSWASTEMAZARDOUSMATERIALS ❑MOTELIHOTEL [j PUMPER TRUCKIYARDICHEMICALTOILETS <br /> TIERED PERMITTED FACILITY - L]POOL/SPA ❑LAND USE APPLICATION SITES <br /> 11 TATTOOISoDY PIERCING (]COMPLAINT/RESPONSE RECORDS []OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8,00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. 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)464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EMD 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 b� <br /> submitted when the file is available. �G f'� •�� <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the Ilcant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review, <br /> 1W,! <br /> t' ;,•tG, NP <br /> Received Time P0 No.�v, 22^.��2.013 I f2'_A JNo 4595�� <br /> r <br /> EHD 48.06�� v,�t""""_• /--,24 Cb ) _plrvj_1* ill co P�'I CrF ce 66I- 'S e"R ,t 04, ; <br /> 'Stoke for-' cato'Z-6'717,Or,-Vi Ctp'- a f'SS of #ml PlIe- 8,-75-C170,-le] (A)r Pill j �'+�- <br />