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Jul. 15. 2016 12:09PM Dorlee Pump Co NW790 P. 1 <br /> r*< EHD LOG NUMBER <br /> _ I <br /> SAN JOAQUIN CCiLfMT <br /> ENVIRONMENTALJUL 15 HEALTH DEPARTMENT � . <br /> 2018 1666 cast Hazalton Avanuo,Stockton,CA 95205-8232 <br /> u one: 209 468-3420 Fax: 209)464-0138 Web.www,sjgov.vrglehd �y <br /> Telephone:( � ( <br /> PUBLIC RFECORDS RELEASE APPLICATION <br /> APPL9CANT: Sadik Algharazi OUSINESSIAGENCY: <br /> ADDRESS; PO Box 1513 CITYISTATEMIiP: TurlocK GA-95381 <br /> PHQNE(1).. 209-587-0734 PHONE(2): FAX OR E-MAIL: <br /> Please allow 10 blialness days from date of application submittal for the records to be available. <br /> staff wlll contact you to arrange an appointment date and time to levlewitte requested records. <br /> ,CHEC.K 60X TO EXF�EATE R kllEST-$936 FEE(CASH OR CHECK ONLY)-REQUEST ST PRO.('DATE IN 711512016 8USINESS DAYS <br /> SIGNAVURE OF APPLICANT <br /> 1. List uu to ten addresses In the spaca below. Select the types)of(i193 from the list below by checking the appropriate <br /> box(as). At least one file type MUST be selected, Fzix to 2091464-0138 or mall to the address Indicated above, Addres* <br /> ranges will not be accepted.Applications receivod aftsr 3:00 pm will be processed the next huelness day. <br /> 2. For asalstance in Identifying tho nature and conlLml,of EHD records,please contact EHO at the ournhar notal above. <br /> 3. The EHD will notify the applicant if any EHD(Iles exist. An appointment for review will be confirmed approximately ten(10) <br /> mays after recetpt of application. The flies will be held for a maxlmuaat sof five bus111065 days for review. Appointments <br /> should be scheduled accordingly. <br /> 4, Any file not returned In the same condition as released will be ra;'organized by EHD staff at the expense of the applicant- <br /> Future file reviews by the same appficant may require a$130 deposit prior to review. <br /> VV=LL AND SEPTIC PERM17 RECORDS ARE AVAILAUE FOR REVIEW: MONDAY-FRIDAY 8:x]0 A�r1-5:�f7F�3(EXCLUDING HOLIDAYS) <br /> Elect7onic,InfcM0011: [0 Llst M Map r Description: <br /> Specific Date Range AflnfonnatiDn Requested: From current to ilil2aii <br /> ENVlR(3[�MENTALL <br /> HEALTH DEPAi'TMENT PIL E AC7DI�ESS EHD USE ONLY <br /> FILES <br /> N09nGF*UND TANK(OST) Straat# Street Name city eye,.uuER <br /> CLEANUP SrYr(LOP) <br /> 1 <br /> Fj OrHaCLEAxuPSITEfNo1A0P} Q4 W. Harding flay Stockton <br /> HAuI�Uuus wAsre ❑oAl�r <br /> TIE,nE3 PEFwrrrED FACUry 3 _ <br /> DAaovECROUND CR1aK C]PWS <br /> fF�1UST (M0t4r,0F GIREMOYAQ <br /> I FJ1 mA3A.Roous m1TEArAL3 <br /> 1,�PILUPZLFA9E REIHPONbE 'tlln'feFt l�swlfY <br /> SOLID 7VAST£P.'urILITY 1 Vf.H ICLE d <br /> ❑FWD FACWY [)9rt h��5 anGe <br /> Pt3oI.I EPA <br /> In-7 aA1RY <br /> ❑L&NO WE APPLfMA 0"STiFS <br /> 1]Sexce PLrMPER TRUCK <br /> YARD ICHEur,ALTQiLrV) L UPA <br /> I1 WASTEWATER TRFA FM ENY'PUM <br /> 11 HLILISINO AQAY,_LIhNY 7 �� <br /> ❑MOTWHOTE '4LjCUPA�_ <br /> D(,HIrKEN f3ANQH r DC)r,KENNEL <br /> MEDIGSLVVA.77E PPACILIT! <br /> p ThyfO BOD'(PIERURG - - ❑a'DUDN7A2TE <br /> C Acrr,LnTn,.� <br /> OTH ESi(PL.�i55E SA£C1YY3= ' <br /> 14 <br /> 4 I-BOXED AREA-EHD USE ONLY"{ <br /> 103 accords provided by :Staff-PPR GOMPIa€e- StaffNarns: <br />