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Is Nov 18 2014 1:07PM THE UPS STORE 2503 9167251772 P.1 <br />■ <br />i■ <br />I ■ DATE RECEIVED l � VWIN JER <br />Iet>: SAN JOAQUIN COUNTY �"i uulluJj <br />ENVIRONMENTAL HEALTH DEPARTMENT ' <br />NOV 1 5 1888 East Hazelton Avenue, Stockton, CA 95205-6232 ? <br />Telephone: (209) 468-3420 Fax: (209) 46440136 Web: www.s ov,or lehd <br />v� -;i- . <br />�g 9 <br />�•;rui' z <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: 1 iti% I 'e- I BUSINESSIAGENCY: .� <br />ADDRESS: <br />PHONE (7) 1 �i %� Co % PHONE (2): FACSIMILE � ;2-rte9 <br />TENTATIVE APPOINTMENT DATE; Time; <br />(Pioeee allow 10 business days from date of uIPPRVatfon avbmk>al - `TeneaUve on - moat be r, rtIrrnsd) <br />❑ CHECK SOX TO EXPEDITE RFOLIEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 SUSINEsS DAYS <br />SIGNATURE OF APPLICANT DATE <br />Etectmnlc iMbrmation: ❑ List ❑ Map— Description: n <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />19 <br />Ot t s <br />Street Name <br />city <br />�. <br />--Pt-r- P. - OC 3 C� <br />4 <br />r <br />NNM \�` —� rc-� <br />q 1 S, 21 r MM Unit 2 <br />2- <br />�c. cel �'t f ✓L <br />~-�,Gr✓c <br />O <br />g.5. <br />,!� , �� �! n � 1.1�' I. TMC L • ..` Sf �.�' <br />.-','- ` K;C X- . <br />'itf✓1(ry BLit <br />linit 3 <br />'�:�`�rc�i':� <br />k.l`i't ,C�•i rC`�-i <br />tnclu��r�r_) <br />Received Time <br />c <br />.Nov, 18. 2014 1.14PM No. 7582 � In1,'`2�Lccn <br />AC• <br />►nom �n <br />F -unit 4- <br />6. <br />�--- <br />- - <br />7. <br />171 Unit S <br />B. <br />• <br />Unit t <br />14, <br />apoanc LMW KangO or rnforrna W Requesbed: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />IIJW"OROM TAW (UST) CLEANUP SITE (LOP) ❑ NIEDcAL WASTE FACt1TYSOLID <br />Oris RU <br />Q.EAP StTE (NON -LOP) ❑ Housima ABATEvExT ❑ WASTE WASTE FACILITYNExic p1 e -j <br />❑ WAsr <br />TAM( (NQNUORI GIREMOVAL) ❑ FOOD FACIL" ❑ DAIRY � � � 3 <br />Aummi.w TAISK ❑ ClOCKEN RAlacW DOG KIEL t_ i l <br />ILHAUM09A aiA8'iAUHI{AZAi2DOUS MATERIALS ❑ W%��wA7EitTR�ATMENT PLANT <br />El TSM PrrrFACLrTY ❑ 116OTHtftm El PUMPER TRUCK(YARDICHEwcALTows <br />❑ POOIISPA ❑ LAND USE APPLICATION 8I TES <br />TATTOM BODY REWNO ❑ COIt;'I WIRE SROM RECORDS ❑ IJTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERM17 RECORDS ARE AVAILABLE FOR REMEW: MONDAY -FRIDAY 8.00 AIM-S.Oapm (EXCLUDING HQLIDAYS) <br />1• l.htWRl2jW srtdrassee In the space above. Sated the types) of files from lira Itat above by checking the appropriate <br />bou(oe). At kmat one fila type MUST be selected. Fax to (2M 464.0138 or mall to the addMa Indictsted above, Addn�e <br />rarx9es will not be accepted - for rac r additional saalstance whir file addrsawn, contact the EHD. Applications received after <br />3:00 pm vW1 be processed the next business day - <br />2. The EHD will nottty the applicant H any EHO files exist An appointment for review will be, confirmed approxlmartaty lark (10) <br />drys atter receipt of application. The files wUl be hold for a maximum of flve business days for review. Appatntments <br />should be sclwduled accordingly. <br />3. A flies H,at Is actively being worked on by EHD staff may not be Immedlatoly available for review. A now application may be <br />subenttfed when the Cie In available - <br />4. Any file not retuned in the same condition as redeaeed Mil be morgenb ad by EHD staff at the expense, of the applicant. <br />Future fA* mvWjm by the same applicant may require a 6125 deposit prior to review.--d4XED ARRA -. END USE OWY <br />19 <br />--Pt-r- P. - OC 3 C� <br />;—. I.c-1i <br />P/. Ci'v�: .-1'fZ�.. c <br />,!� , �� �! n � 1.1�' I. TMC L • ..` Sf �.�' <br />f "}' •. !i rZ <br />.-','- ` K;C X- . <br />�^3J�73io) 3`J7�.� ��}Sl`to F1u�rt3 ,'�(��I �ccEk�rL. <br />'�:�`�rc�i':� <br />k.l`i't ,C�•i rC`�-i <br />tnclu��r�r_) <br />Received Time <br />c <br />.Nov, 18. 2014 1.14PM No. 7582 � In1,'`2�Lccn <br />AC• <br />►nom �n <br />�--- <br />