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cNVRO vi,f,ENTALHEALTrj <br />�canr=;'t;�AVI�ES <br />916648GIS" <br />- <br />PAGE 01/01 <br />(7 � (0-) Ply <br />SAN JOAQUIN COUNTY <br />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 />EHD LOG NUMBER <br />r An <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: 7fryC�t A-JA'e BUSiNESSIAGENEY: �U� 1✓Hyit��7V1'���L) �IIUtIJ <br />ADDRESS: 225 �oN Shcc� -* 2E2- _ CITY/STATE/ZIP: Sacci?t�2Gtl1i CA' cr'Ski� <br />PHONE (1): 91L 9211-0660 PHONE (2): FACSIMILE:g16 64V(6 �A <br />TENTATIVEtAPPOINTMENT DATE: Time: <br />. (Please allow 10 business days from date of spplicailan oubmtltal --Tcnfall'. only- must bo oonfirmod) <br />❑ CHECK SCX TO EXPEDITE REQUE�ST- 5125 FSE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT �'�� gyp—, DATE (0j?_q-7u ¢ <br />Electronic Information: ❑ List ❑ Map -- Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />Strocl H <br />Sireet Nama City <br />�. IS301 <br />Av( py)vc Attu?Wd I W T-raCL-y <br />r fir} ❑ Unit 2 <br />El Unit 3 <br />2, <br />q <br />Unit 4 <br />r7� <br />❑ Unit 5 <br />9, <br />7 <br />Unite <br />10, <br />rj <br />Speolrlo Date Range of Information Requeated; From to tilt <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />[� UNDI PGROUND TMK (UST) CLEANUP SITE (LOP) ❑ HOU6ING ABATEMENT Cts SO)_1D WASTE FACILITYNEHICLE 2 j 5 <br />Q OTHER CLEANUP SITE (NON -LOP) 0.1`0 on FAcll_m ❑ WASTE TIRE <br />Q UNDERGROUND TANK (MONITORINOIREMovAL) ❑ DCG KENNEL ❑ DAIRY t <br />® HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTENATERTREATMENr PLANT <br />[YTIERED PERMITTED FACILITY LjMRTELIHDTEL L] PUAIPERTRUCYJYARD/CFEMICAI-TOiLeTS <br />El TATTOOIEODYPIERCIRG ❑ POOLISPA ❑ LAND Usl_ APPLICATION SITES <br />❑ MEDICAL WA5T'E FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELI,ANO SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS9T <br />1. Lst 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. Pa_?5_tQ (203)464-M3 ar trail to the address fndicated above,_ Address <br />rangoewill not be accepted -for addltlonal assistance with file addresses, contact the EHD. Applications received attar <br />3:00 pm will be processed the next business day, <br />2. The FHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ton (10) <br />days after receipt of application. The files will be held for a maximum offive business days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that Jr. actively being worked on by EHD staff may not be Immediately available for review, A new appllcalion may bo <br />submitted when the file Is available. <br />4, Any file not returned in the same condltion as released will he reorganized by EHD staff at the expense of the applicant. <br />Future flle reviews by the eame applicant may raqulre a $125 deposit prior to review. <br />s 0 rims Bluit <br />Received Time.Oct.29. 2014 1:24PM No.7431 <br />