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tho. P-0-ed -in 1-11,o c.0e <br />5e& AM-7_ dcd Cf i:V- <br />, <br />otaj-epi c(127 ). <br />R.Vr, <br />IL rt //[ 12.1 re ia 146 <br />\ /7 <br />EHD LOG NUMBER <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: <br />ADDRESS: <br />PHONE (1): <br />\ CAM BUSINESS/AGENCY: aoco <br />/c I3 qK -c-av CA— CITY/STATE/ZIP: <br />1/00 ?I/Z._ 6/Z7 PHONE (2): FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />LI CHECK BOX TO EXPEDITH-REQUEST - 2.5-F-E-E"(CASH ORç.HCK OtjLY) - REQUEST PROCESSED IN 3 BUSIN SS is <br />SIGNATURE OF APPLICANT DATE <br />DARECEIVED <br />SAN JOAQUIN COUNTY <br />FEB 07 2014 <br /> <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />ENVIRONMENTALITIgkigione: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />-PERMIT/SERVICES <br />q <br />I Electronic Information: LI <br />_ <br />I <br />List Map-Zliesaiption. <br />_____ FILE ADDRESS EHD USE ONLY <br />El Unit 1 ....--a„, Street # Street Name City <br />I .1...) <br />e,S27.5, ('U. W ) a 1.frl ILL_ 6 .... Vi.....'-' , _-_,e_16.1--ed ....) 1,.bfb f te CZ5p <br />-Unit 2 „Er <br />2. <br />Agar" <br /> <br /> <br />,----- <br />Unit 4 <br /> <br /> <br />-'I)- <br />5 ,,,,ErUnit <br /> . <br /> <br />----- ./.0 Unit 6 <br /> <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />El-UNDERGROUND TANK (UST) CLEANUP SITE (LOP) la VEDICAL WASTE FACILITY <br />0 OTHER CLEANUP SITE (NON-LOP) 13 HOUSING ABATEMENT n UNDERGROUND TANK (MONITORING/REMOVAL) El FOOD FACILITY <br />In ABOVEGROUND TANK 0 CHICKEN RANCH/ DOG KENNEL E-IAZARDOUS WASTEIHAZARDOUS MATERIALS 0 MOTEL/HOTEL <br />TIERED PERMITTED FACILITY OL/SPA <br />DI TATTOO/BODY PIERCING eOMPLAINTIRESPONSE RECORDS <br />to <br />In-SOLID WASTE FACILITY/VEHICLE 1,,.. Oer-, <br />11_1 WASTE TIRE -3 l <br />0 DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />. JJ D P MPER TRUCKNARD/CHEMICAL TOILETS <br />LILAND USE APPLICATION SITES <br />12-0-1-1-1ER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />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 />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 />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 />Any fife 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,. ***BOXED AREA - EHD USE ONLY*** <br />0 Records provided by Staff-PPR Complete. Staff Name: <br />EHD 48-06 9/4/12