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a: .Feb. 15. 2013 10:49PM Geocon No. 0730 P. 1 <br /> III <br /> 1 M DATE RECEIVED <br /> ���'EI� <br /> �M REP � • SAN JOAQUIN COUNTY EHD LOG NUMBER , <br /> I. O� V -.-".. ENVIRONMENTAL HEALTH DEPARTMENT �b <br /> FEB 15 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ,T HEALTH (209) 468-3420 Fax: (209)464-0138 Web:vvww.sjgov.org/ehcI <br /> EN omw.IPrf�Nl�L I-nIT�I PUBLIC RECORDS RELEASE APPLICATION <br /> o��r.nl T ISFRUI[.yS <br /> APPLICAllyt/Ik"� BUSINESS/AGENCY: CDI1�lL� <br /> ADDRESS: CITY/STATEIZIP: Cc v d[Rr� f��� `f 9 '1. <br /> PHONE(1): PHONE(2): FACSIMILE: Q/L- SSS -Y132 <br /> TENTATIVE`APPOINTMENT DATE: A�Ipv c1 [ ,2Pr� Time: Y'd0 0.vt <br /> (Please allow 10 business days from date of application submittal-•Tenfaffve only•must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQ EST-$125 FEE(CASHHECK O LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Z[15— !3 <br /> Electronic Information. ❑'List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# <br /> \/ Streat Name city Unit t <br /> 1. 11 Jul Ill Nv 0 <br /> z' 7 Unit 2 <br /> 3• 'a lftr .,, fx9t� J <br /> 4. Q0 �,,• ........� <br /> ������„„yyc-Ol T <br /> s' vp <br /> 2( tYV`� Uhlt4 <br /> 7. 760 <br /> 8. O(1 ( cX Unit 6 <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> specific Data Range of Information Requested: Prom / r /�yy O to a/15/20/3 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACII fUyY/V FllCLE <br /> ^LF�II:� CLEANUP SITE(NON-LOP) ❑HOUSINO ABATEMENT ❑WASTE TIRE I�X185 ft�r I 3 <br /> DERGROUND TANK(MONITORINGIREMOVAL� r I Fnnn FecrrrY l�DAIRY 1� <br /> �OVEGROUND TANK o�— •� 'V IIO�,rAs (-0/7�jol/./f"(>Cl/Ye 'I --N j+ I� <br /> �(AZARDOO$WASTEIHAZARDOUS MATERIALSI� OZI, I r ..�Q ; ���� as 815 3 L! `e <br /> ❑TIERED PERMITTED FACILITY ) AA�/`�2.;)15. <br /> / 1 �j, 3S pLf(�t <br /> ❑TATTOOIBODY PIERCING -3/2 0.�15l 34 409.1 0. 70 <br /> �2" . M -fir <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAIL'C(I1/tIn ,�4�1-WtA36a R� 5 -,A +W_ <br /> n�i> e�1f I E_a //��r�of 4Ef LA4aw <br /> c <br /> 1. Lost <br /> ten addresses in the space above, tO rJ03 5 3 535 l� lmut IY� <br />' box(eses).. . aW11SA5 <br /> At least one file type <br /> ranges will not be accepted-far additional a for -A4 zGhcr.r <br /> 3:00 pm will be processed the next business Yr f� <br /> 2- The EHD will notify the applicant if an EHD flies exist. An ointment for revlc ' �' o View ---" `""'•'""""`"-'�" <br /> Y PP To view the HIVIfV1P(Hazardous <br /> days after receipt of application, The files will be held for a maximum of five buy Materials Management Plan <br /> should be scheduled accordingly. g )go to the <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avail following website:www.sjoesdata.org <br /> submitted When the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHLi as <br /> Future file reviews by)he same applicant may require a$125 deposit prior to review. USE ONLY <br /> V�4 .:{:`'• -Y'. •� <br /> _ yf 4 <br /> ❑RecQrASipra-vided by! ff-PP r: o!tl,Plefe''.siaffNaine <br /> Received Time Feb. 15. 2013 10:47AM No. 2,A1113-q-13. , 'u\Adp u[%vQv All <br /> HMMr`'Filc lolG7iff1`yP, SII zeioh, f; Li 4544ldusdnalt-760 <br />