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■ <br /> ■�. Sa13-1372013 07:41 am From-URS CORPORA' 2153671000 T-602 P.001/001 F-173 <br /> ■ <br /> DATE RECEIVED EHD LOG NUMBER <br /> $AN JOAQUIN COUNTY <br /> i FCE'vE® ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> SEP 1 a 2M3 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: vwvw.slgov.org/ehd <br /> VIA <br /> TH PUBLIC REIPORDS RELEASE APPLICATION <br /> AP�EIt✓ANE� r BUSINESSIAGENCY: <br /> ADDRESS: CITY/STATE/ZIP: fad �L;A';11IF61 An, NOW <br /> PHONE(1): PHONE(2): FACSIMILE: J <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tenrarive only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUE $125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSI ESS DAYS <br /> SIGNATURE OF APPLICANT ""-" DATE 3 <br /> Electronic Information: ❑ List ❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Nam CRY-� Unit 1 <br /> 1- �oUi vT r4'DPJ N)'cop <br /> 2 ,�/ <br /> � 0rJt•cG` j L�Unit2 <br /> 3. �� ` h - CiLn��' > r-c o 1i'L� <br /> 4. �- - / i Iinl 9 <br /> 5, <br /> Irfl <br /> _s <br /> Unit 4 <br /> 7. ib) <br /> 8. <br /> Unit 6 <br /> 9. <br /> Specific Date Range of Information Requested: From to Nl'1 <br /> ENVIRONME TAL 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) E FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK E CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS E MOTEL/HOTEL PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY POOL/SPA LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING COMPLAINVRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> ELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDIN(3 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 EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD 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 theApplicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review, <br /> •4.',. ,tt• .',t,{r,f' r. -'�r ��'• ia:.fr.,r.'. ,i:'.'"I• h,t .j? ':,',r.'` r,�'j•.•,. <br /> `1:.1'i1la •'P ,'.rrQ• �B1NrD':''Sta N �B},.�:f,:;1'' -,', :r i_ :ih:•.'y`'. :`= h�;.,.:,1:,� •t•'!r .i; <br /> EHD 48-08 0/4112 <br /> Received Time Sep, 13. 2013 4:30AM No- 4060 <br />