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RECEIVED RUSH EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY /� <br /> JAN 16 2017 ENVIRONMENTAL HEALTH DEPARTMENT 2 <br /> 1868 East Hazelton Avenue,Stockton,CA 95205-6232 �✓•') <br /> LRDMRONMENTAL F1E-1Melephone:(209)468-3420 Fax:(209)464-0138 Web:www.$)gov.org/ehd 15 2. <br /> PEI`WITtSER1� . PUBLIC RECORDS RELEASE APPLICATION pp <br /> APPLICANT. ✓I` LV,, BUSINESSIAGENCY: M�r� A coc a he <br /> ADDRESS: W CITY/STATEIZIP: ., .L) �i �s. CA f-S 74 <br /> PHONE(1): S-6a X I PHONE(2): FAX OR E-MAIL:. <br /> � ,j` ease allow 10 business days from date of application submittal for the records to be available. <br /> MACULE Staff will contact you to arrange an appointment date and time to review the requested records. <br /> CK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIG OF APPLICANT DATE <br /> 1. List uD to ten addresses In the space below. Select the types)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature and content of END records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten Il 0) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM.5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑List❑Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL CD, 2 IYICLI/La+ Il <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLYI�j -�] <br /> FILES I' <br /> UHDERGRWNO TANK(UST) SVeet# Street Name city 1f <br /> LL GoxawaK 13 <br /> LT,E,C RUpSUU ^k l«k �6 G Ghd�„s) ✓ MDQ <br /> �OTHFR CLEANUP 51*E MoN{ t) J <br /> C-I HgIM0005 WASTE �DAmY <br /> ❑ �6�'1� Fa6Y_ Ltd n1 <br /> TIEREO PFAMRIED FgLILRY <br /> RAacMEGROUNO TANK n <br /> A�UST(MONRCRING IREMOVAL) <br /> 'D ! 1"• tr 4�/// k L Iy /' El P <br /> �HAuaoous MATERIALS - e <br /> II SPa ELEASE RESPONSE �i <br /> `� Ww+m DUAtm <br /> FJSCUD WASTE FACILRY I VE 1 ^ <br /> ❑FOoO FACILITY <br /> PGOL ISPA Y��,['j���j 5 I{. +r wlL.y- `1 GK K.1 1I� t ITE'U"GAP. <br /> ❑DAIRY ! / ` /IIY /1"W / ✓IY� `� MrJI /�� <br /> 30 <br /> UNO USE APPucxyg SITES • ��ll ♦ J/.� `a`c1p <br /> SEPRC POMPER TRUCK I JrTJA. /W/ r,L��- �HWMx6 41N <br /> YARD I CHEMYAL TOLL S S l qqo Pei jyw,-l G <br /> ❑WASMWATERTREATIEMPLWr ^^ Pit- <br /> 0 <br /> C COPA M <br /> ❑ JJ/''' <br /> HoueWG AaK.TEMEHT <br /> WG <br /> / / /J�O/ <br /> ❑ <br /> MOTELMOTEL f n V <br /> CHICKEN RANCN IDOG xENo. LIGE-/v1 _ COPA-UST _ <br /> MECKM WASTE FACILRY 8 'Mo 'MP r;�/CP <br /> ❑TATTODIa00Y PIERCWG f rK�R Y LL SIXD WASR <br /> n WASTE TIRE n C, eh ��y/�� �/�'yA✓�/Ayt ❑ '�r/�/ <br /> �COMPUVJT 8 ' K� /VKY1.1 C°J O <br /> OTHER(PLEASE SPECIFY): / (G( ❑A.� 1. <br /> ' �`�� 5 � S� I/•.yam/ �� <br /> "'BOXED ARS-END USE ONLY--EHD USE ONLY `C <br /> IY e <br /> 'lie Fa �( r 0 <br /> N <br /> a <br /> D Records provided by Staff-PPR Comple e.sten Nam: <br /> ENo ae-Ga 1�I9 �q <br /> 111�((J Go( to e T,- �. r2tu nt;n5 dee tff1 tW a4 iii � <br /> 51 st q r�o t1vJ RP, CO�y zyz fSDcoo a bio d rG�) 1 > to v�e ►�tN �o f P 110 <br /> ;; AIQHn1(�PFIr�L�i1Fd/� �° yiiFn/Y1P�{*n), L <br />