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From:Marcus Bole & Associates 1P milEB6.L or <br /> tl / 2013 18:21 #014 P.001 <br /> g'� EHD LOG NU BE <br /> JIEIVE SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV Is 2013 1868 East Hazelton <br /> Telephone: (209) 468-3420 F xV 2 <br /> (209) 464-0138 Webenue, Stockton, CA 5www. s gov.org/ehd <br /> PERMiEs R ICES PUBLIC RECORDS RELEASE APPLICATION <br /> r' ENTAL LTH <br /> APPLICANT: b,+yl D �p( BUSINESS/AGENCY: G'OGN:R I <br /> ADDRESS: lO L/ P/Loc4 D/'L CITY/STATEIZIP: kN2?¢ra1-,'0, 4l- <br /> PHONE (1): V/S•-lo& PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: 11 -At Time: i/ +/fM <br /> ,,,,,, <br /> �—� (Please allow 10 business days from date of application submittal-*Tentative only-mustbe confirmed) <br /> /rj CHECK BOX TO EXPEDITE REQUEE$125�F E(CA O�CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ll�«�/� <br /> Electronic Information: ❑ List F1 Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> 1 /s E e rract-Tviv !tile 6�'At tl&A�� <br /> 2• S3 g<cr St— r_0CkQA1 cls Q unit i} <br /> 3. D S, wIit5;Pw 2610 0 "k A/ <br /> 4. 5?oD E Ma (V sr 2,95�7' W` FVQTVA/ 'Z j Lyreo,✓L <br /> 5. p ,`5,.+PewO G 04 aaz '11'W' 13' <br /> - Unit4 <br /> 8. � �ly �t ;I /VT i • Unit <br /> 9. <br /> �; .. <br /> 10. i Unit 6 <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES � <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) El ,5 <br /> MEDICAL WASTE FACILITY .�LSOLID WASTE FAciLrrYNEHICLE <br /> HER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT eTWAsTE TIRE <br /> OUNDERGROUND TANK(MONITORINGIREMOVAL) [_1FOOD FACILITY ElDAIRY <br /> WABOVEGROUND TANK - ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> E3fiAZARDOUS WASTEIHA7ARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICACtOILETS <br /> ,(.1IERED PERMITTED FACILITY 5❑�POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING OMPLAINTIRESPONSE 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)454-0138 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 rile 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!pplicanL <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. 101 p.1408- D,: : <br /> ✓�'.s.:"a5'.r^.T Y . L,. 3r'r ,,,:;.7Yr ae' i' , yC. r, en j u. ° r�i ,z <br /> Ala.ou"� \..:+T,..;.+wa?w'�.1. ?uta,�'�� -r5m�� ,+.Y <br /> ", <br /> w,�3n�wa:�aaS <br /> tii �v1NJr95�4v t 3t`'i y "a 3 Y 4f#`YFi*'£•-SL$» t` S:A-, u3a aY,adF° at' xt>Nsst :ilu cxs kX: i1 fw\'S , °�" i "� <br /> ...,. t 5..n <br /> IN <br /> EHD 46-06 8/4112 <br /> "MA AI Ar'AR <br />