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)IeOct-2812 23:53 HelloFax 14154499998 P.1 <br /> o J1 Y83d • .SAN dO�dLlEIEN COUNTY <br /> EoWGNUsrlElt <br /> 1H3H1UN3WNOHWO <br /> EWRONMENTAL HEALTH DEPARTMENT <br /> 9 1o0 1888 East Hazaan Avenue, Stockton, CA 95205-6232 <br /> Telephone. (209)488-3420 Fax: (209)480138 Well:wwwasjgov.org(eW <br /> ®�AI3038 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:�-t �1 ti 7f P{2— 9USINESSiAGENCY: y (,��c C n v t l y I , <br /> ADDRESS: )r7)'_?:; hn � v Nw CITYISTATEMP: L tv�I�ov c c� }t I Q�y� <br /> PHONE(* q,Z-ci 'Q t W,1 u PHONE(2): FACSIMILE: <br /> T> NTA77VEWPOINTMENT DATE: Time: <br /> (Plem xW"10 buskon days tram dole of oppia.don submitral-'TenMtlye only•must be oardkmedi <br /> .❑CHECK BOX TO EXPEUTE REQUEST-$125 FEE(CASH OR Ct£CK ONLY)-REGOEST PROCMEP IN 3 BUSINESS DAYS <br /> MNATURE OF APPLICANT DATE <br /> �P Ekctronlc Informmlon: ❑ t bet❑Map-Description: <br /> FILE ADDRESS EHP UUGWY <br /> '�F tttraetfF 8010t Name CRY , k1 <br /> i. v _ �'2 n _ U�T ikw H-M NL) <br /> 2 Unit2 <br /> 3. <br /> 4. Unk 3 <br /> 5. <br /> 6. lMk1 <br /> is <br /> B Unit 5 <br /> 1>f. <br /> 70. t3 Unit e <br /> SpwMc Daft Range of Inkrrrstlon Raqueged: From <br /> ENVIRONMENTAL HEALTH REPARTMIENT FILES <br /> NDTANK(U3T)CLMWSITE(L ❑MEDmWAzTEFAcsm 5XIDWAMFACLIT(NEMSE <br /> r_; P0AW=FACLffVD(, <br /> CLEMP Sft pfmb LDF) �f HotIm ABATEow wARIETIRE <br /> NU TANK(VDNgr01B1j0h"OrAL) LJ FQM Fusin [law <br /> IID TANK OL QC=9W RNNeHI DDD KENNEL ❑WASTEMATER TRIATMIT PLAINT <br /> NMSTEJHALY1WU MATERWIc L ❑MOTH FAM ❑PUIVERTWOOYARUCHWICALTMM <br /> ❑POOLMA ❑LANDUsEA"LICATKWSITEDYATTIoa" MPIRCM ❑cowLeatMoreeeaRccahms ❑OrNER(PLEASE SIM" <br /> wELL AND SEPTIC PEFtim,RECORDS ARE AVAtLAMLE rOR REHEw: MONDAY-FIMCAY 5:00 AMS:ODPM(E%CL.UDM HOUDAYS) <br /> 1. List rro to ton addresses In ttw space sbove. Haled the type(s)of filo from the"A above by chacklnp ft appropriate <br /> bo4sel. At Feast ona f le type MUST be selected. Fax to I2091464-G13d or mall to Mitt address Indk4kmd*bow. Address <br /> ranges wN not be accepted-for additional astMonce wdh ft addroases.contact ax END. AppReafform received afoer <br /> 3A0 pm wtR be processed the nett bustlhtws day. <br /> Y. The EHD will nottfy thegppNcant Nang END f fee eYbL An app"ftont forreviw will be oontlmhedspprohdmetaIV ten(10) <br /> days after receipt of applic0om The f5m wM be hid for a maximum of tfvs business days for review. Appokrtmants <br /> sthodtd be setledrisd accordingly. <br /> 3. A Hie that Is selively being worked on by EHD staff may not be knnn"isloy Wal"for cwt aw. A new appl cation may be <br /> su m-adi d when the fHitis available, <br /> 4. Any Ste red returned In the same wndfUon at released will be nwIlaMaad by EHD staff at the expema of the applkarrL <br /> Fob"fila reviews by the same applicant may regoln a$125 deposM prior to review. 'Aide A+t lleEosiLY <br /> ILj) ' areal, n <br /> A <br /> 11 ftwords.MyWed by t3faf 4"CclnLtleb,"Now.' <br /> Received Time- <br /> ' Oct. 24, -2012- 2:53PWI-No. 1481 ' "' <br />