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OCT-16-2013 WED 09:59 AM Moo, Twining Associates FAX NO, 5' ?68 7126 P. 03 <br /> REV VEDEHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> OCT 16 2013 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH ; <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: . ; /V1ar2L e2. BUSINESS/AGENCY: <br /> ADDRESS: 2527 F.e c•,o S CITYISTATE/ZIP: ��ee n�, C A `/3 72 I <br /> PHONE(1): ()S9) 26-9— 7o,2- 1 PHONE(2): Lssg) q7t-Rs�l r FACSIMILE: �sS-�� ZG8- -7( 2 e- <br /> TENTATIVE`APPOINTMENT DATE: io/zS/ /3 Time: 6d 'eO <br /> (Please ailow 10 business days from date of appl}ca-t n submittal-*TennfaftVe only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTG� � -- DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. (Q3Z ti, D ;SZR - S-1occ�lr�, L <br /> 2. pvnit2 1 <br /> s. 2 Ca <br /> IVl� .�It <br /> s. <br /> 7 Unit4 <br /> lll� i3 <br /> 8. <br /> 9. - ❑ Unit 5 <br /> 10. <br /> — t— - 0,Unit s <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 /> RUNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL [WASTEWATER TREATMENT PLANT <br /> HHAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑ OOL/SPA GLAND USE APPLICATION SITES <br /> [:1TATTOO/BODY PIERCING [�COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (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 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 the applicant. <br /> Future file reviews by the same applicant may require a $125 deposit prior to review. <br /> _ ..__._.�._._ ........._..� _�.._...........».__." ...._..........__. ......__.... a8=s^:c�a.-...Ys,.a:x"'':Y_amt_::.-::r:r••c.=r.:::�_:_:di"i'�>i_�__+:. - :syi:.:r.;:E:: �� <br /> ..._.. ._....-... r1i' ..."��}._. _..-..3,..t."S.�.i.J IY•L^r..^:.�:L.,•Y::::::::r.Y.....:....._.......«..-..._. ._._...................r........ �__ - -- <br /> ....,......_......._.... _.aS..._r...^—._Y... 1_w.,T..»_A... J.Y.....—�}.t.......—.........:t'tr.^...r.•:c:'.:.'^.:::�}'a....._..•__.......�.._...-^. <br /> ..__5....._... 5 1 :....-...... .a..._...r.._. 1t <br /> Til.,.;� ;t;.�--'­z-.rr.:�es.-:.,..—.._....«......• r..._. _ - <br /> .. ._....,-..___`_: ...�._..._-,^.c. .......:?l...E.l...__....a.....,.._...... s............... � ::�:::r==3g:v= - _ -sE('�•r.}•:t:= <br /> ...._.._..�.:.:_:._........__.... ..___..._.:.:J..,=�..,.,r......—.... � { Y'..:t...«........_ _ _ ��1"�':Wiz':=:�� <br /> _....._.s.r.....�.}a..._ .i9F.L:a=•_.....;^..___..J._ ..—...,zi:•t..c. ...._.__........ i ..__....^.................._._^tly^a:::c:a:»:c_.:..:: .x - _ _ ._r.:•-e..;;:a_Ec^sp:::vua: <br /> . HE <br /> . ._._. _. _ _—x-'17... _ .. .._.. .:. .........�...._.............�.: ,,....._.... .. <br /> . ...."...____......._�....._._..._. .L__...__. ......-1.-C7......._`.'.ai n_'..t_..aa-.,.-__....��...._r. ^c,_,.,........ ._u:::..L....._.�.,:.__ - -::•r:::? c:v:a:r^.e.':'=x::.L.: <br /> ._. ..... - .-_.. _ .. - .... _..ar.^: •-.^.. .::.........a— <br /> :ts.... - ......... ... .. <br /> r..d�., .r .v.1.die.ci..l2. .SRr.Eli <br /> ......^M..EHD 49-05 N <br /> ■w;tir>ri Y :::_:::::: ::;::,:_r::::::...... <br /> 9/4/12 <br /> Received Time Oct. 16. 2013 9 : 51AM No- 4318 <br />