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.R �'� LL60 'nN WdLSl l 911H5l '�nr amyl paA I a 0 9 <br />0RT�� V [' `I e EHD LOCA NUMBEk <br />SAF! JOAE UIN COUNTY <br />JUL T 5 201.6 ENVIRONMENTAL HEALTH DEPARTMENT <br />1866 East Hazelton Avenue, Stockton, CA 95205-6232- <br />(te l<IEITFII i I LTi i <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web; www_sjgov,o •g/ehd f + <br />PCP <br />&q,Tib- �1= PUBLIC RECORDS RE�.EASFE d�PPLICA 6 G N <br />s� <br />pa,Dpa IO T. i_. Q BUSINESSL s135N€�`Y'_< <br />- — -- – <br />AD;6i <br />AD -DRESS: 40 iJM S SW+P. OB I o�TE/ill':i �t6 I�'� ioiLo2 <br />PRON2 (i): �i 5- ,i��#- ���� PHONE t2): FAX OR MAIL: _��i41 � @�C@PllrCi`�� CPCLSkI glArITF. C <br />Please allow 10 business days from date of application submMal for the re c de to be available, <br />Staff % ill contact you to arrange an appointment date and tune to review th a •equested records. <br />0 CHECK BOX -0 EXPEDITE P,EQUEST - $130 FE (CASH OR CHEC ONLY; - REQUEST PRO 'ESSED IN 3 6USINESS DAYS <br />SIGNATUKEOFAPPLISANT % -- DATE -i <br />1.1 List uo to ten adds 2ses In the spaL. below. Select tho t.°Tglg) of Ales from the list bei€ vi by checking "he appropriate <br />box(es). At least c ie file type MUST be selected. 091 -0136 or mall tp he ;alih res$ tndiCated above. Address <br />i ranges will not be iccep€ed. Applications received &qnr 3:00 peri will be processed the tie €t business day. <br />2.1 For assistance In I lentifying the nature and Content of PHD racordg, please contact Eit10 it the number noted above. <br />3.l The END will eotif-; the applicant If anis EHD files exist. An appointment for r2view will Ise confirmed approximately ten (10) <br />days after racrdlpt I ,f application. The ales will be hold for a maximum of five business Ela d- for reYlew. Apperintmenr s <br />should be schedul ed accordingly. <br />d.' A,ny file not return- d In the same condition as released will be reorganized by EHD staff' a I: the expense of the applicant. <br />Future file 'eviews by the same applicant may r"uIre a $130 deposit prior to revlevw. <br />VV: LL AND SEPTIC l EPMIT PISCO DS ARE AVAILABLE FOR REVIRM MONDAY -FRIDAY 8:00 All I-5;00PM (EXCLUDING HOLIDAYS) <br />�n <br />1Electronlc lnf® mat Drs: ❑ List ❑ Map – Description: <br />ow <br />Specific Date Ranl a o€ Enformatlon Requested: From t+ <br />I 5NVIROMMENTAI <br />F'EALTH DEPArRTMI NT <br />p, <br />FIE ADDRESS a <br />FILES <br />UNDEROROUNUTANK (UST) <br />Street ,e. <br />Str'zetMarne I <br />Citjl E <br />1I <br />PIh�!9{CG ( ,Y <br />L-6 Lk In <br />! CLPANUP SITE (LOP) <br />HAZARDOUS WASTE <br />p <br />TIeRED PERMITTED FACILITY <br />7 <br />�5� l <br />I <br />I <br />h bbl I r-6C�' <br />L" 16� <br />p Ivy ?zjh <br />J <br />A80VFGROUNo TANK <br />UST (MONITORING I krmcA ,L) <br />I Hwnoous MATERIALS <br />1 <br />��`7 j <br />-I f <br />I <br />�i W� li �(,�(� <br />p <br />�`�G�._.••lbun� <br />f <br />9PILL/RELEASE RE31PONS11 <br />Sour) WAST@ FACILITY / VEI <br />4 <br />-` <br />1 t <br />v :_ ' <br />Fcou FACILITY <br />[] POOL ISPA <br />C] DAIRY <br />aj <br />�TdG��►1 / <br />LAND UsEAPPL!CATIoN SIT! a <br />�j SEPTIC PUMPER TRUCK / <br />>�, <br />'"� <br />• YARD/ CHEMICAL TOILETS <br />µO Fi f�a•� <br />WAGYcwATER TREATMENT I .ANT <br />HCU:ING ADATEME14T <br />7 <br />MOTEUHOTEL <br />CHICKEN RANCH / Doe KEA LEL <br />9 <br />[] MEDICAL WA -.Tr FACILITY <br />TATToo/SobY PIERCING <br />WAaTE TIRE <br />9 <br />COMPLAINT <br />_ <br />a QTHER(PLEASE SPECIFY)! <br />IQ <br />---80XED AREA - �l-i�J USECN Y*" <br />Gil`? 1Ci i�4� U.YI('10AII ti�L( �w ��h_�Itll/1��� <br />t! Records I-orrl Sed Staff -PPR Coin lete. staff Name:�It <br />EHD 48-06 <br />E3 CONSUME <br />ill 11 e <br />13 DAIR. <br />A a PWS <br />`C 7 <br />IJ WATER QUALITY <br />I J it f 1 L 1 n <br />�(��{��r�G\•• F1 �/�4Y/�•fir GrteMmennau <br />HQUrINa 1 <br />Id CUPA <br />�YIN1(W-2 ;1Q2. <br />�r n'two WASTE <br />ACCOUI MNO <br />r,d <br />iA <br />-71 <br />P(71r <br />it 0.1 <br />r <br />I nn/I nn "J r..IaI!+ I A,71 OI n7/nI <br />11nM <br />JIM a <br />/ I —"— <br />