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r 08 13 03:54p Marlowe Praperti 411k57-1629 p.1 <br /> 0AQU1NjG9,lJ1�ti, ,Pub]ic�Records Re[e*App.pdf http:/hvwrhdcomldocs/Public Records Release App.pd <br /> DA7 CE1�fnb'> EKE)LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> BAR o 8 2OU <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 186B East Hazelton Avenue. Stockton,-CA 95205-6232 <br /> Tel ptlone: (209) 458-3420 Fax: (209) 464-0138 Web: www.sjgcv.org/ehd <br /> PE�[7,1 ILEI=i�IE�``E;� <br /> PUBLIC <br /> �RECORDS RELEASE APPLICATION <br /> APPLICANT: To ,�.Qxe' B_USINESSIAGENCY: �7 <br /> ADDRESS: _ ��,� I tSstarj Am- r CITYlSTATElZ1P: �n ���I CA, [1) <br /> PHONE (1): LRS LK7 16ZQ PHONE (2): FACSIMILE.4IS q57 --I_CZ? <br /> TENTATIVE"`APP CINTMEN7DAT E: 3 2x-[3 Time= 11:36 <br /> (Please allow 10 buslness days from date of application:submittal-"Tenrarive only-must be con flrmed) <br /> CHECK BOXTO EXPEDITE REQUEST-S125 FEE{CASH DR CHICK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 167 DATE 3-,5-13 <br /> ElectronicInformation: ❑ Lis Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street N Street Name City ❑Unit <br /> VL ZZA10 <br /> 2. �3�`� ... _. �Y - �,tt1 cvx . ;Sr,�:fi►to ro w( d,��5�,� p - urnt z <br /> 4.. 1 zD ..1N�1_r .. Ckd __._. N� _ ._ !�Unit3 <br /> 5. <br /> 7. 75 I� til N �dF <br /> 8. i 0 Urdt 5. <br /> 9. <br /> 14. ❑ unit s <br /> Specific Date Range of information Requested: From flpfa to 1, ----- <br /> ENVIRONMENTAL.HEALTH)DEPARTMENT FILES <br /> UNDERGROUND TANK(UST}CLEANUPSITE(LOP) ❑ MEDICAL WAsTi:FACILITY ❑SOLID WASTE FAC _ (ValI LE} <br /> ®OTHER CLEANUP StrE(NON-L0P) ❑HousiNo ABATEMENT WASTE TIRE 5 rj7/y(•(,�",� <br /> 110 UNDERGROUND TAN K(MONITORINGIREMOVAo)— ❑FOOD FACILrrY ❑❑AIRY <br /> ABOVEGROUND TANK- ❑CHICKEN RANCFII Doe KENNEL. ❑WASTEWATER TPATMENr PLANT <br /> HA2ARDousWASTEMZARDOU3MATE.RIALS}-- ❑MOTELIHOi1=L KA PUMPER TRUcKIYARDICHeracALTOLM <br /> TIERED PERMITTED FAcILFYX— ❑POOLISPA LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING �COMPLAINTIRESPONSE REcoRz ❑OTHER(PLEASES PECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PU (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select tate type[sl.of tiles from the list above by checking the appropriate <br /> box(es). At least ane file type MUST be selected. Faxto(209)464-0438 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received atter <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A newapplication may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized byEFID staff at the expense of the applicant. <br /> Future fiiereviews by the same applicant mayrequlre a$125 deposit prior to review, ""BOXED AREA-EFID USE ONLY <br /> �J LI <br /> i <br /> r a a1Z <br /> Ll Records provided hy. �afF-IRRFK Complete. Staff Name: .05 Pf <br /> Of 1 EHD 46-05 <br /> D- - - !.._ 1 T:__ LA_ - 0 IIA16 ?./IDDAA hl,. 7rr}'Y <br />