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J Feb. 15. 2013 10:49PM Geocon No. 0730 P. 1 <br /> 1 1111 EHD LOG NUMBER <br /> I� DATE RECEIVED F.._ �• SAN JOAQUIN COUNTY <br /> is R�■ 10 ENVIRONMENTAL HEALTH DEPARTMENT ^� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> FEB 15 2013 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVSnONMENTA:LHEQ''&fH PUBLIC RECORDS RELEASE.APPLICATION <br /> APPLICANT: AA `T7[(c.�c (/1 BUSINESS/AGENCY: ea)Crnn �AnS0.-� n�S Tac• <br /> ADDRESS: 111e0 G61d\1' SL%t1x CITY/STATE/ZIP: d&_r L, Qq,-dej d i 95742 <br /> PHONE(1): y((Q•-T51-9tlg PHONE(2): FACSIMILE: 4/(.- 552. Y/3� <br /> TENTATIVE`APPOINTMENT DATE: A*,6rc/,-t ,2er3 Time: Q'>QUo. <br /> (Please allow 10 business days from date of appliatlon submlltal-`Tentative only•must he confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ EST-3125 FEE(CASHORCHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑'List❑Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> `./ Streete Street Name City Unit? <br /> fuk3 <br /> 2. TTpC�-��(� 1 Elunit2 <br /> 3. / / C67" <br /> 4. QQ _ -. Unit3 �IP <br /> {{L9( f, <br /> $• tCWrUnIt 4 <br /> T. 7L0 1/1t �t <br /> = UnItSB• rj D'fd i <br /> 9. <br /> 10. ❑ units <br /> Specific Date Range of Information Requested: From / r /95­0 to 2 1 2d/3 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MEDICAL WASTE FACILITY ❑SOLID WASTE FACIL NE LE <br /> G�'SHER CLEANUP SITE(NON-LOP) E]HOUSING ABATEMENT ❑WASTE TIRE ) <br /> _re-"fir(rn1 3. <br /> A16NDERGROUND TANK(MONITORINGIREMOVAL)� M Fnnn FACII rrY F I DAIRY (-a 3_l-1 T5 <br /> IROVEAZ <br /> GROUNDTANK �' • i fvllo -V%0 colnplo, /o SQ/y-e irl*4,,,Q— IJW f 7)e Al. <br /> ARDOUSWASTEMAZARDOUSMATERIALSV'�I ID,ZI�11„_, n. 64M]^7-6Drr ACIF15f 36005, 35oN(0, <br /> ❑TIERED PERMITTED FACILITY Amt <br /> ❑TATTOOIBODY PIERCING Q !_ O 2. T6 76VjjkUrfr1cx <br /> ',•^ <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILPOMP0,1 oZ R T S i A `TY� 1}t/��,+ � <br /> ,Orn r tno - An 111. n' n 4 F 9a&' -� Cn..” "m <br /> 1. List up to ten addresses in the space above. X09 3 535 bran Y0 <br /> box("). At least one file type MUST be solei Ol` ( n rn0 of rn,o 42W nt u- rn fzz�. +ori S lord) <br /> ranges will not be accepted-for additional a •r��-r''( <br /> 3:00 pm will be processed the next business Fpr SDN 2r, h41^ Wfi <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for revl . To view the HMMP (Hazardous <br /> days after receipt of application. The files wilt be held for a maximum of five bu _Materials Management Plan)go to t <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately avai 4;ollowing website: www.sjoesdata.o <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by E scan A,a-�cxeyad-ui .,r - <br /> Future file reviews by1he same applicant may require a$125 deposit prior to review. �fp AREA!"yEHD U$E p)JLV <br /> r ILIy <br /> iyrq 1tec0,rds gra}(,(ded by' ff-PP t'Oh0',P12Ee::SlaffName <br /> Received Time Feb. 15. 2013 10:47AM No. 2 34 13 rvv:dP i�/�G 1 ;�- 'j <br /> 0410P/4101,:1010ill ZerJ14r ir W, A t+lcrtifs<ra1,—AE)tr�1u ,rt�, ,Czlr,d:,�r�tlZ. KA <br />