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/ 1707877376 ANT01I 5 PAGE 01/01 <br />RECSVrt) ��} � w <br />DATE RECEIVED fiN EHO LOG NUMBER <br />JUN n,7 2011 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT � <br />ENVIRONMENTAL HEALTi)I <br />600 East Main St. Stockton, CA 95202-3029 d. <br />PERMIT/SERVICES elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Kenneth Anton BUSINESS/AGENCY: Anton Geological <br />ADDRESS: _P. 0. Box 370 CITY/STATEZ Elk CA <br />Lod <br />City <br />1 IP. 1 95432 <br />FACSIMILE: (707) 877-3278 <br />Time: <br />,�,, <br />1- Tan`.na fativaonly-mustbaconflrmed) <br />PROCESSED IN 3 BUSINESS DAYS <br />w DATE June 7, 2011 <br />8. <br />PHONE'(1): (707) 877-3278 PHONE <br />TENTATIVE* APPOINTMENT DATE: <br />(Pleose allow 10 business days from data <br />© CHECK BOX TO EXPEDITE REOUFST - 2 <br />9. <br />SIGNATURE OF APPLICANT <br />Electronic Information: ❑ List ❑ Map— Descrl <br />FILE ADDRESS <br />Unit a <br />1 D. <br />Street Name <br />0� <br />Capital Avenue <br />Specific Data Range of Information Requested: From <br />wr NO <br />V4. <br />W. Banner Street <br />C) <br />❑ F000 FACILITY <br />❑ DOG KENNEL <br />❑ WASTE TIRE <br />W <br />❑DAIRY !119 <br />N. Thornton Road <br />❑ CHICKEN RANCH <br />❑ MOTEtMOTEL <br />❑ WASTEWATER TREATMENT PLANT J%I �1 <br />❑ TATTDOIBODV PIERCING <br />❑ POOL/SPA <br />El PUMPER TRUCKIYARDICHEMICALTOILETSV <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY - <br />❑ OTHER (PLEASE SPECIFY) <br />6. <br />Lod <br />City <br />1 IP. 1 95432 <br />FACSIMILE: (707) 877-3278 <br />Time: <br />,�,, <br />1- Tan`.na fativaonly-mustbaconflrmed) <br />PROCESSED IN 3 BUSINESS DAYS <br />w DATE June 7, 2011 <br />8. <br />9. <br />Unit a <br />1 D. <br />Specific Data Range of Information Requested: From <br />❑unit e <br />f u <br />ENVIRONMENTAL WEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT <br />P9 OTHER CLEANUP SITE (NON -LOP) <br />C9 <br />❑ SOLID WASTE FACILITYNEHICLE k <br />© UNDERGROUND TANK (MONITORING/REMOVAL)( <br />❑ F000 FACILITY <br />❑ DOG KENNEL <br />❑ WASTE TIRE <br />W <br />❑DAIRY !119 <br />® HAZARDOUS WASTE GENERATO�j( <br />❑ TIERED PERMITTED FACILITY <br />❑ CHICKEN RANCH <br />❑ MOTEtMOTEL <br />❑ WASTEWATER TREATMENT PLANT J%I �1 <br />❑ TATTDOIBODV PIERCING <br />❑ POOL/SPA <br />El PUMPER TRUCKIYARDICHEMICALTOILETSV <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY - <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00pm EXCLUDING HOLIDAYS , <br />1. Jrlst uo to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(ea). At least one Ole type MUST be selected. 0 Z 404.0135 or mail to the addres Indicated a apps Address <br />ranges will not be accepted -Por additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten (10) <br />days after recelpt of application. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file is available. <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$122 deposit prior to review. <br />?" Y"°6Ka I Cali dol Ave mm ab1 #1 ' , corP('�ibeL<ift <br />CI Co 00 s� al� 'X 10+W N`J .�� e. �crnp #cooDaq(Y( )si�dd�2 tUhIP.Y� <br />6 q-(1'•PIPASe i y lett fiom ley van F,�u"e /�4�+din9 IoN37 Vxtri/iPr l�/3 <br />