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Feb. 15. 2013 10:49PM Geocon No. 0730 P. 1 <br /> DATE RECEIVED „.._ EHD LOG NUMBER�\ <br /> E f EIV <br /> , SAN JOAQUIN COUNTY \1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 15 20131868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ENVIRONMENTAL iiEALTH PUBLIC RECORDS RELEASE.APPLICATION <br /> or tArrisERVICES - <br /> APPLICANT: yAku4-u,l) 4,irc A BUSINESS/AGENCY. 6af_n (Id,ASGt. +” mac• <br /> ADDRESS: 3(le0 Go1d\Fa.Ut , F�T�yt SL%tlx �— CITYISTATEIZIP: d. _ L f Cnva(eyzl. GAT S <br /> PHONE(1): `flla-g52-'Y(!$ PHONE(2): �!6-�'sj4t d76z( FACSIMILE: 4!!.- 8S� <br /> TENTATIVE'APPOINTMENT DATE: jww-c4_1,26es Time:— '?:40,0 o-m <br /> (Pleas*allow 10 business days from date of application submittal-`Tenfsave only•must be eonflrme ) <br /> ❑CHECK BOX TO EXPEDITE REQ ST-$125 FEE(CASHIOOR CHECK O L1)-REQUEST PROCESSED 1143 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 21174D1 S <br /> Electronic Information. ❑'List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> [211 <br /> street Street Name city unit <br /> DGE-'1 W� 1 Unit2'1- AS 2( trVv Uh • <br /> 7&0 y � ' i D I Unit s❑unit s <br /> Specific Date Range of Information Requested: From / 1`950 to 2 h vl3 <br /> --,,{ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> LEKNND'ERGROUND TANK(UST)CLEANUP SRE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIfflYNEfJICLE <br /> DCv�nER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE I?fi }O/�[� 3 <br /> �yr�'DERGROUNDTANK(MONnORINGIREMOYAL]� r-IFnnnFace ITY 1-1 DAIRY Y� <br /> L4 BovEGROUNDTANK �- ."(ho_fp1l0'._O,✓tc. C"l0)0v/AfSaM2 )-}T/IJ f7 1e A" <br /> P'HAzARDoUS WAsTEINAzARDous MATERULSV'\ I pZI�t Ids llufL ; 1A�� 7 � i ag 815 3 6p tJ S, 35 p y(�t <br /> ❑TIERE:D PERMn7ED FACILITY <br /> ❑TATTOOIBODY PIERCING 5 0 d' <br /> WFLL AND SEPTIC PERMIT RECORDS ARE AVAIL-UM *-L�35 o�Iii 1 S i A 7Y�'+ fKAJ hF", '�e <br /> FIf <br /> tg�7i ` /V!�MIXwMt <br /> 1. List ue to ten addresses in the space above. tp(�a✓ �l�5 3$351 .-Imur� Ir.13 <br /> es). At least one file type MUST be sale[ <br /> rang •�!'1 I • ill._. D{rn.,n�t All, rDMI5215 (.M 510(0) <br /> ranges will not be accepted-for additional a for -�oN Za h <br /> 3:00 pm will be processed the next business i r r� <br /> 2. The EHD will notify the applicant if any EHD flies exist. An appointment for rsVl4 To view the HMMI.Ward.us <br /> days after receipt of application. The files will be hold for a maximum of five buE Materials Management-Plar go to til <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avail following website:www.sjoesdata.ar <br /> submitted when the file is available, <br /> 4. Any file not returned in the same condition as released will be reorganised by EH.sw�. e, +�cwkcnx ,.��a^err•..�•,�� <br /> Future file reviews by a same applicant may require a$125 deposit pribr to review. ',"'BO p McA;roEHD USE oycy <br /> O 'ec J4 }aif.kled ti ff-PP ?: o:: p <br /> R 4T.. 'I? .. Y lefe'.siaitNetne: =:• r ` ',: :,. ..:;. :: <br /> yr <br /> Received Time Feb. 15. 2013 10:47AM No. 2 34-13= ,'vQ' U/Ug4 I Tj Wrftlr5 ' J <br /> 04MPh1015' 1010701`1(:7il ze*l, 044lctusHlal,��t� x�ti1 ezf r,�a1,s/ri�t(Z. <br />