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07/28/2017 13:15 4808304888 ATInJELL LLC PAGE 02/02 <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> DATA RECE`Ip >� J ��16^ ENVIRONMENTAL HEALTH DEPARTMENT <br /> �i Stockton,CA 96205-6232 <br /> a 18M l;eSt Hazelton Avenue, 4 s ov.orglehd <br /> K ephone:(209)468.3420 Fax: (209) 64-0'136 Web:�"`^I`!1- 19 <br /> PEWlTFS1 T1fCE3 PU'SLIC RECORDS RELEASE APPLICATION <br /> 13USINESSIAGENCY: <br /> APPLICANT: , v� - <br /> CITYISTATEIZIP: <br /> ADDRESS: PHONE(2): d FAX OR E-MAIL: <br /> PHONE(1): 490- date of 1'Icatian submittal for the records to be available. <br /> Please allow 10 business days from a t dale and time to review'he <br /> quested records. <br /> Staff will Contact you to anang PPo" 'en <br /> XpED299zQtLthe <br /> CASH OR CHECK ONLY) f2EQUESY PROC DATE I gUS1NESS DAYS <br /> [] CHECK BOX TO E �tyPQ(S) <br /> r� riate <br /> checking the aPP PSIGNATURE OF APPLICANT of filesfromthe iiui peiddbg v . Address <br /> ace below. O 3 o 0 <br /> a d ss s In the MUST be set®cted- a rocessed the next Business day. <br /> box(es), At least one tele typed.Applications received after 3.00 pm will b®P <br /> es will not be accepted.App tease confect EHD at the number noted above. <br /> ran® approximately ten(10) <br /> EHD files exist. An appointment for review will be`for rev review. Appointments <br /> 2. <br /> For assistance In identifying the nature and content of EWD records' P <br /> licant if any <br /> 3 The EHD will notify the ap anon. The flees will be held for a maximum of five business aYs licant. � <br /> days after receipt of app reorganized by EWD staff at the expense of the app <br /> should be scheduled accordingly. <br /> Q, Any require a$139 deposit prior to review• <br /> file not returned in the same condition as will be reorg CLI�DING HOLIDAYS) <br /> Future file mviaws by the same app MONDAY-FRIDAY 8:00 AWS:Q" <br /> WELL AND SEPTIC PERfrilfT RECORDS ARE AVAILABLE FOR REVIM: <br /> Map_U)escription' f <br /> Electronic InformationList: 0 Fig <br /> Specific Date Range of InformAtED <br /> iori Kastle <br /> ENVIRONMENTAL FILE ADDRESS EMD USE ONLY <br /> WEALTH FDEPARTMENT City <br /> D cpts„rsn . <br /> 3treat 4 Street Name <br /> ut4MRc>ROUND TANK(UST) fAq 1 \ S�G k I /N 1��% <br /> CLFAnuv Sm(LOP) 11 V �a I T!( W 0, F �]DaRy <br /> )9 <br /> oTNER CLrAMUP SPIE <br /> Q TIERED FVA*rr,En FACER I�5 `�I �C( War � 1 ryre <br /> sovsWtovno TMw / ��t L 11 JC. <br /> WS7 (M�Tprq I RgroyAl) /qg� l ` I�IV C's , /�.�QO f � WC vy \ �/� (�mArm cxr�m <br /> p MAZ%p DOUS M�T"A�S ./�- 1 L V ►(� /� , 'l f <br /> �trRELVAeE RESPO"Of D r ACA n L,�+TI^' G �� ^ J _ 1 1•`�� 1 17 �� <br /> SOLID wo'm Fw'kM I dEN«LO q I � ) l >a WMGkTtM <br /> Q Foos FACItnY I 1 p�(C/ 0 <br /> Q Foot,SPA �!l LJ& A <br /> []DAIRY (J Novstrn <br /> p <br /> LA-AD USEAWLiCATK7u Saes ,S <br /> Sem VUMRU <br /> PER TCK / 10 r0 ro%- � <br /> I e O(� -G• C <br /> YARD I CNEWMAL TOIttE's 3 CVPA <br /> E3 WAsrEwTEA T"ATM"T PLANT t /1/i JK, 1 o ti 4 <br /> ❑,imswaASATEMert Wo 7' �-IGha� r l..)a� <br /> OMMLnjaTfit <br /> I]CHICKEN PjmcM j DoO KnttEL <br /> []MIKOPUAL WAIS,E FKM" <br /> TATTCCMMT PIERCnro rr'�11 l /n�r ' [ G t '1 Q SOLID 1NASTe <br /> WASTE TIRE NV B ' / ' V r0 c� D il��_ �i <br /> oCOMPVdM, CA = vllw i 1a����ti11 <br /> ❑ot«en�atEAae geccsvl: k <br /> z+ <br /> «.anvcn AREe.�Hr.L�16E 4NA,.Y"' <br /> r <br /> �.�•�-� '- �'�- 7 -Cc�(lrr )'�-k-- le:t �=� � �a 1@� �i:i�' 'vt�'1rE� rA�. �- � �� <br /> P <br /> 13 Records provided by Staff-PPR Complete. staff Name: <br /> Received Time=JU1. 28. =2017=11 : 00AV7-No. 1991 <br />