Laserfiche WebLink
aool/o01 <br /> Il04/15/2014 13:06 FAX 314G154.'i44 <br /> 8HD LOG NUME ER <br /> DATE I2EC1wI11I l]. .SAN JOAQUIN COUNTY <br /> R E ED - ENVIRONMENTAL HEALTH DEPARTMENTnil 1 <br /> 1$88 East Hazelton Avenue,Stacktah, CA 95205-5232 { �+ <br /> ApRIephorte; (209) las f )468-342a Fax: 464-01 38 Web:www•sJ90v.orglehd <br /> qty <br /> CATION <br /> Iw�IV <br /> [11onln�I;N: A HEALTH PUBLIC RECORDS RELEASE.� LI e. . .: . � s <br /> APPLICANT. BUSINESSIAGE NCY: <br /> ADDRESS: CITYISTATFJFfP:_CLDN[ <br /> PHONE(1): - t" PHONE(2)% FACSIMILE: �OS <br /> TENVE-APPOINTMENT FATE: Time: <br /> e: <br /> -*ranfafive only-must be&_)hfin'rngd <br /> - da from of a wntTan submlfta y } <br /> lease e![aw'i 0 6uslneas days PF <br /> GHI=C XTO EXPEbI-M MQUEST-$125 FFE(CASH OR C GK ONLY)-REQUEST PROCESSED IN 8 6 SIN S DAYS <br /> SIGNATURE APPLICANT DAT!~ it 1 <br /> Eleatrvnic Inf, atlon: ElList❑Map—Description; <br /> EHISE ONLY <br /> U , <br /> • FILE ADDRESS <br /> Street# Street Name City0 Unit 1 <br /> N µ <br /> K M (i tM <br /> `� _ c <br /> 'I 2• _7C7 € I� �� <br /> '"M s cow <br /> U <br /> 4. wr <br /> Unit 3 <br /> 1� <br /> 6• `{1.I�1 I 1� nrt 4 <br /> 7. �..I�ill,�� �V v <br /> 1­1 Unit 5 <br /> 10. Unit B• <br /> Spadfle Qste Rari a [nformatlon Requested: From t4 <br /> ENVIRONMENTAL Hf_AL.TH DEPARTME FfLES <br /> UNDEReROUNb F (UST)CLEANUP SIM(LOP) ❑MEDICALWAS-M FACILITY <br /> BQL![]WASTE FACIUTrNPItICLF <br />' OTHEjtCLEANUP (NON-LOP) ❑HOUSIReAmTEME:NT WASTETIM <br /> 1 llmovEGRouxto) <br /> NDERGROUND I� (M0NI1 O %C4REN dVAL) El FOOD PACILETY DAIRY LAO k <br /> ❑CH CKEN RANCHI DOG KmNEL ❑WASTEWATER TREATMENT PLANT <br /> �HALtRDOUSWA ousNIATER1ALEi ❑MOTELHMa r0PUMPER TRUCWYARD1CHaafr 'IGI.M <br /> 1 TIERED PM AGILITY ❑POOLISPA [�LAND USE APPLICATION Slrr:.s <br /> TATTOD1B0bY F' RING WomF AINTIRESFONSE Rmaws ❑OTHM(PLEASE SPkC") <br /> WELI.ANO$ pEpAff RECORDS ARE AVAJLA@LE FOR R.EMF-W, MONDAY•-FR1oAY 8:00 AM41:00i'm(EXCLUDING HOLIDAYS) <br /> 1. List up to I drefisgfi In the space above. Select the type(s)of files from the IMabove by checkIng the appropriate <br /> box(es). At a t onRTTla type MUST lacselected. Faxto(2091464-0198 Or mail to th$address lndir�ted above.I Address <br /> ranges wt[I d a accepted-for additional assistance with file addreasee,contact the EHD. Applications recelved after <br /> 3:00 pm will a processed the next business day. <br /> 2. The EHD will I tiiythe applicant jr any EHD files exist. An appointrnent for review will be confirmed approximately ten(10) <br /> deys after ' e t of applicatlon, The f[les will behold for a tnaxlrnum of five basiness days for review. Appointments <br /> # should be a uled aordingly, , <br /> s: AfiEethat Is. <br /> cchrelybeingworked onbyl F�-n'1�. #�ti,�ted e.,�:iiccu�l- c'�:;�y �� t.���.:i.c;ata 'ti::Flerlo�t:•2c;}(�,-,T.r7 � <br /> subtnttted a the file lS avallable. c �r�L =c�� 7zi~ 13c�:riryze,~ Lf'i, A�fay y s r�ltAfo une b: t�� <br /> f 4. Any file not t med in the sama conditic. -P-"9 <br /> Future Me re by the same applicant Marr+--frt-ii klasler �-ch; Mil�Ier ?ec�l, t4'4!ei+eche Peter v�7m ce��er3 <br /> _ _cn r �lfr <br /> f �� .:- fes,i - .:3 awy•" •,nr ;'.:: h'--Ci ' 6 LL'! I �,Sera CO _Jtmers of /llc <br /> liP7 [✓' r -I LLC1 '�P7'ay 1�5 <br /> -x..'; '-k.a :..'.i '_.L: :Y:^.•}'.�'d.::='ria,-,—' C"�+_�ry �it„�(.Gll <br /> s:y xy- :sa=r ..xaY?" was C?� `✓TCC- ;?r fit'Gt?n IGt3C C'.Jl: /'� �L'L�S I6��� Ttr lL� � <br /> l I L3W' 761 1.11Y3 <br /> � �s�'�'a=:w„,• :,�:,.:a.�.y`.,�_,}-"�'_r�,e-•�v":?'� Y aiZwtlt-t r..�'�v1i.[r- �s !v1 ft �1+r. �mvFeR.eCJ C9pc1 0 <br /> (rp,t `Nat') bp.,- -77-0 e- PamA-re—, pro-4dzc{ GD'c�F -7;2z >Iv.?1rrtr . <br /> —oa�.��a•;X .r cc•w -r'v"-':.='c"S"ti'.�zt:.::M�r <br /> lfus C,1 -7701 iam 0's1-,ah4en tfLcS usT sh.O <br /> END 4"s C +►l�f to C1 � 37F'63C�i a fs71 IS „) tfLO 0/4� grans <br /> Received Time fpr. 15. N14 1 : 10 No. 5793 _ r-L-,,nate,- crl rx. o, 44, <br />