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SEP-03-2010 03 :26 PM TTINS. ENV&ENG 949 '2 0517 P. 01 <br /> SAN ,JOAQUIN COUNTY EHD LOG NUMBER <br /> _. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202.3029 <br /> ,_ TH Telephone: (209)468-3420 Fax: (209)464-0138 Web:www,Bjaov-o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 00LICANT: J O h V\ G'tt+'i K a <br /> BUSINlr9g/AGENCY; rs'mi k8 E'K"• 4'ins, rhc• <br /> ADDRESS: 2Z3 2 P t 0.{-i wo —, I <br /> CITY/STATE/ZIP: M1 Mot, Vl ti CA QZ69( <br /> PHONE(1'): q` q 38 PHONE(2): FACSIMILE: q1'9-`�`-LZ- _C'_S1 -7 <br /> ttNTATIVE"APPOINTMENT DATE: 9- 1 — to Time: 2 p M <br /> (please allow 10 business days from data of application submittal.`Tentative only-must be confirmed) <br /> C)CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIONAT:VRE OF APPLICANT DATE—9 --3 —11D <br /> EId G'oni�Infarmatton: ❑List r]Map-Descriptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Rt M 8trast Name <br /> 211to Loov�ts oa city <br /> 1• . <br /> R o� �S`Focy'"h t Unit�`� <br /> 2. 2s l�odVNi$ Rood S+ocki-0h <br /> 8. Lori hi6nit2 <br /> R D0.Ak't'oh J� <br /> a. I„OOt'r1iS R41a1A V�t'DCI�d"ah ! - 1 .�•rY.'�i1� 3�Unit <br /> g• �i�.� L oh w�2S �awr+t cs�-oC{t.'tbv1, r� <br /> 6. Lvv1r <br /> � <br /> d, <br /> 9• !]UnH e <br /> Unit e <br /> Spe tff4'Dfi($flange of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTME T FILES to 1, A)r <br /> UND ROROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE )G�/ <br /> OTM k CLEANUP SITE(NON-LOP) n FOOD FACILITY ❑WASTE TIRE <br /> UNbM�(IRGfUlUD TANK(MONITORINOIREMOVAL)Ix ❑pori KENNEL []DAIRY ( <br /> MA�IYIiGOIJ$WASTE GENERATOR v El CHICKEN RANCH Q WASTEWATER TREATMENT PLANT ��q10-10 <br /> TwkA b PERMITTED FACILITY rL [IMOTELIHOTEL El PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> TAitOO 0ODY PIERCING ❑POOVSPA ❑LAND USE APPLICATION SITES <br /> NIEdfCAI WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> Y!Wat.t� DTIC PERMITRECORDS ARE AVAILABLE FOR' REVIEW. MONDAY-FRIDAY 8.00 AM-5.00PM(EXCLUDING HOLIDAYS) <br /> 1• muldbe6chaduled <br /> d eases In the space above. Select the type(a)of files from the list above by checking the appropriate <br /> t least one flistypeMUSTbe selected. r I�nall to the addres¢indicate b iy Address <br /> ill''not ba accepted-for additional asslatance with Ellddsses,Contact the EHD. Applications received after <br /> il be processed the nextbusinessday.2. will notify the applicantIfanyEHD filesent for review will be confirmed approximately ten(10) <br /> r ech I t I appticatlon. The files will be held for a maximum of five business days for review. Appointments <br /> y 6cheduled accordingly. <br /> 111. A 0116 th*f Is actively being worked on by EHO staff may not be Immediately available for review. A new application may be <br /> subMitt6d When the file Is available. <br /> 4. Mylla not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future tale reviews by the same applicant may require a$122 deposit prior to review. <br /> y`i (1I if -Vii <br /> cAl �, _ <br />