|
In r -p`1 o1 1 2014-OS-20 04:45:01 (C3MT) 16SG44ga O80 From: Pa l Wolosz yn
<br /> Iii 1
<br /> EHD LU NUMBER
<br /> :SAN JOAQUIN COUNTY".
<br /> 1 ` ENVIRONMENTAL HEALTH.DEPARTMENT s '~
<br /> MAS' '0:2 14. 186.8 East Razelto.n Avenue., Stockton, CA:95.205-6232
<br /> Telephone; :{209).46.8-3420.Fax {209)464-.01.38:illfeb:•W w:sjgov.'org/.ehd
<br /> BEL
<br /> .NVIRONMEf-1 : ' t
<br /> NIALHEALTFp
<br /> :. PERM1T1sERVIc>s: PUB.LIG :RECQRDS. E
<br /> SEAWPLI C AT10N. .' .� .
<br /> A .
<br /> :: : ..pP.PLID:AtvTs Fa.WdLVV.oloS :I:.P:a��:il:�c JB .irdinwo al.: as
<br /> :ADRRES,S; 1:5,00-AM, i air ino Awe; # - .GiIY/S.TATELZI.Pc. ': G 11 Q., 5833-
<br /> 24�:
<br /> •RHL2NE{�)_ : :9,1:h-444- FACSIMILE:$
<br /> , :8�8•-444-3:080.
<br /> (lease-allow 10 business days.from date of application submittal fo.r the:records to be.available.
<br /> :S.taff will.c.ontact you td a.rrange.an appointment data::and*time:to review-the-requested.records.
<br /> ` GNEeK:t3QX.TO.1rXREQRE'; QUEST-$:125:FES;CASHOR�H�EGK,ONLh1,,REQU);STRBp. E��E�:IN,•3•,BUSINESS.'D/�YS
<br /> .. / ... '.
<br /> S.IQNATU.RE-:QF APPLICANT DATE, ..: •I' fll:X 4
<br /> Elects'nW.:lnforntatio.n:•. ' fl List O Map-lae.scri.ptio.ln:
<br /> FILE.ADD ESS' : . • EHD.USE•O.NLY.':
<br /> �/ ;:tiCeeE S.treet:Name• : city
<br /> `I`- ;�.. • . E:..L.Q:u se:Ave... o :
<br /> 2 54 ' ,.�� �s-I•, ` r� c S�..
<br /> E.••L' . ise.Ave • .. . .. �p� ..: .,_.
<br /> UnX 4
<br /> :. 'ieas. : : il>too discus :. -a-
<br /> :8 .
<br /> : . re
<br /> : .
<br /> 90. 'hAx>Eu:r.
<br /> []Unit 8
<br /> .Specific Date..Ranga ofaclformtk(fiRn:Requested: From
<br /> % ... Nv NTAL.KF-. H:DEPARTME.,
<br /> ' EJR.ONME . . .EALT NT'FIt.ES.
<br /> :UNDERGROUND TANK:(U$T).:gi.EAgqP:$if. .(QOR) Q MEDICAL.Vl(ASTE FACILITY., $.OLIDW1tsT�FP,�:�I,ITY�/l HICI.E� �i e�'
<br /> : .�U.7HER,cLEA91 S17E(NON•40..P) Q HO.D5INS AEATEMENT WASTE TIRE 1 :C)�>
<br /> UNRERGRQUNA TANK:MQNI191114PfREM9VAL FOQD fACIL[fY Q DE11RY "
<br /> :[EA@gy..EGROUNATANK (]:.CH'1,CKEHR
<br /> aNcti/{)OG.FENNEL QUA$TEWQTR.TREAT
<br /> MENTPIAN[ 5'•
<br /> ..
<br /> •;WA$T.f/HAM.P.OV$.MATER.IALS N
<br /> � Q.TEL/HJQIEL,
<br /> �., �PU 7PER.TRUCK/YARp/CNE TICAL[OILETS
<br /> •HAZARDO..Q '
<br /> : :•ff]TIERED PERMITTED.FACILITI(: '. Q P.00I/SPA. $rffS.
<br /> • . TATT.QQ1$. DXRIER.Q Q �CQMP�►INT�R>*SPdN$E REC.ORRS' OTHER(PLEASE�P_EC,I.F'!).
<br /> : g Y1ll=LL.AMp.SEPTIC:PERMIT RECORDS ARE AVAILABLE FOR.REYJEW 'MONDAY:FRIDAY 8;00 AM-5 OOPM(EXCLUDING.HOLIDAYS.)
<br /> -1, List up to ten addresses,in the space above' Sele..ct the type(s)of Rtes from the list above bycheck'►ng the appropriate
<br /> : box(es), At least-one file type MUST be selected. to(209)464«013.8 or mail'to the-address,Indicated above. :Address
<br /> : ranges:will.trot•be:accepte.d,,App.licatio.ns,reeo..ived after-3:00�p.m.will be.procoAsedthe'ne�ct'business.`day,
<br /> •.2: •For assistance.in identifying the nature.and.content of.EHD records,:ple'ase contact EHD.at the number noted above. :
<br /> ' • ..The.EHD will notify the applicant.if:any EHD files exist An appointment:for review•will be.confirmed approximately-..' n
<br /> • 'days-after receipt of application; The fifes_will,be held fora maximum of five:b.usiness days.jor rexiew: Appointments '
<br /> -sho.uld be scheduled accordingly, '
<br /> 4: Any file riot returned.in the same condition as released W!
<br /> I :bo reorganized by EHD staff at the ex.pens.e:of the applicant.
<br /> Future file.reviews.by the.same applicant'.may require a,$.125.depositp.rio.r.to r>rview....**.BOXED AREA.-EHD U.S.E:.ONLY**t "
<br /> :) i ,�. ..
<br /> 110 77 It�nntlr 6q xsJ_;is,D4
<br /> • xs��025?�,�SJ-OZS�p 'XS,j '172�$� X5J-o3i�6� X•S.1`4.320?j.,.�r�3 -03Z12.. .,y(.SJ:.U32�7Q. .e��j.(G3L7]�.XSj•(;?�Z77 ...
<br /> SJ c• Z9 i ASJ cY5q!5S; KS,j "49J, xsd 0!5509, xsu- o S/'•....
<br /> IzsJ e3i�L., xs� O'35 5, xss o3i ;��x�i �3urio� xs� 03 83, XS.._040 sr 04Cis7, xs,i0voW,. AS,J_ iIA12. .......
<br /> }Pa'04CI:u cep"dF ousfW"C -+Ul/cP Xk,r:b lc*.n--di[,a nor zii2 feidlsf_- LQt5w_ �c�Laf Coco3�i;�� 4 cOCt,32to{aC1 �o2&a u2File
<br /> ,n 1f� f,iea z. C� .3 :{'.i ? -h .ice-�s,�d .� tt+t? FUe 4,_S nPic,►� '+s"5' Lca6�S' aGc�O' '
<br /> $rg 2•ke3,�S ecC:c:zG3�4• C=c't c��SSS,.
<br /> ��r2bslfs.t.�.�i:C Z,ri'3 icz�M,1 ".1-A77Filey/_. kvApjr✓,7t-05 C&W-4iri7,C.��.3ttclF�c+rx31zi1., C C.icic7actX00
<br /> •Dtslciv).(yCLzgXic;4^r)S Ir) [ccZz47.��i• r�e,cr. 0Z t,,���c,ntf7r»� is�•1� t,le#:;S. �,-J
<br />
|