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�C[p� � ��i��s�rrSy To:12094640138 Fa9e:11 <br /> �M DATE RECSR 12 2013 . <br /> �M SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH DEPARTMENT <br /> PERMIT/SERVICES 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> t PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1 nc S�tet%k\ BUSINESS/AGENCY: VI �f ES$rpt SN1Vr�g <br /> ADDRESS: $S 'YRIc'tvm"A Allf�5 CITY/STATE/ZIP:_ Qa, C �a{611 <br /> PHONE(1); 519 �� 1)66S PHONE (2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time:_I�.�,5. so13 <br /> ►/� <br /> (Please allow 10 business days from—date of application submittal-•Tentative only.must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST- 725 FEE(CASH R C CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11 aol3 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> ©� FILE ADDRESS EHD USE ONLY <br /> Street# Street Name <br /> fil 1616 E Glty <br /> ❑Unit 1 n <br /> 2. 630 Ao UV <br /> 16tig w ,Q 1 <br /> 4. 16� <br /> �0 .. .E Unit 3 <br /> ,ZAr"lif <br /> 7. <br /> 8. )moo <br /> ua un I t 3u�rSP <br /> \A0U-01 Zq t]Unit 5 <br /> , tAiSi <br /> 10. <br /> O unit s <br /> Specific Data Range of Information Requested: From19y. to i�r2Cp <br /> ENVIRONMENTAL HEALTH DEri ARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACIU`rYtVEHIC <br /> OTHER CLEANUP SITE(NON-LOP) 0 HOUSING ABATEMENT ®WASTE TIRE I,), -FI I� �/' <br /> UNDERGROUND TANK(MONITORING/REMOVALV- ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK � \ CI' <br /> p� ❑CHICKEN RANCH]DOG KENNEL WASTEWpTER TREATMENT PLANT <br /> QQ HAZARDOUS WASTEIHAZARDOUS MATERIALSx ❑MOTELIHOTEL - ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> TIERED PERMITTED FACIU YG>11 Q POOLISPA ❑LAND USE APPLICATION SITES <br /> TATTOOISODY PIERCING R COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ann-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo Nen <br /> addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted-for 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 files exist. An appointment for review will be confirmed approximately ten(10) <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 /> 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 8126 deposit prior to review. *-BOXED AREA-EHD USE ONLY-- <br /> . .' <br /> Q <br /> t <br /> o, <br /> O Records y;Sta .lprovid6d b . � <br /> . k <br /> StaffNainei. . <br /> Received Time Sep, 201348 -3�AM N --4br4— <br /> 1I .-I V,3i1'r ni0 - c <br />