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9 Ll IL UJ. i iH ...... ..... <br />EHD LOG NUMBER <br />IN <br />VED SAN ENVIRONMENTAL <br />HEALTH <br />DECOUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT ^ e <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />AUG 27 2012 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br />�rrfl�00 SUSINESSIAGENCY: <br />JON <br />APPLICANT: P1045aPI <br />ADDRESS: /00 LON >�r��vw ✓r ¢ CITYISTATEIZIP: 1 ll 64 iTZ3 <br />-FACSIMILE: F25- 8 <br />93z- 9oOs� <br />PHONE(1): g2S-305-$$90 (): Time: <br />TENTATIVE' APPOINTMENT DATE: <br />(Please allow 10 business days from date of appiicat submittal -'Tentsvm only- must be coldimled) <br />❑ CHECK BOX TO EXPEDITE REQUEST - 125 F E CASH OR ECK ONLY) -REQUEST PROCESSED [N 3 BUSINESS DAYS <br />DATE 8-7,7-/Z" <br />SIGNATURE OF APPLICANT <br />Electronic information: ❑ List ❑ p -Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Street R i Street Name citylie <br />Unlit 1 <br />,� <br />1. /S//O .r/te� <br />/%CAM C <br />�U <br />- <br />Unit2 <br />• <br />2 / /8P l / <br />A%ti <br />!VO Gi7<°i <br />3. /5232 / <br />4. 5Ze I9 /o <br />" <br />Unna <br />5 /zso 41,2�%<d <br />8. �r✓ <br />7. <br />171 <br />Urdi 5 <br />8. i <br />9. <br />Unit e <br />10. <br />to <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES n� <br />® UNDERGROUND TANK (UST) CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACL�YEHICLE/ r- / , _ i ( J <br />® OTHER CLEANUP SrrE (NON -LOP) �( ❑ FOOD FACILITY ❑WASTE TIRE 3 I P'S/1 /3J` (?a/) 1 7 <br />® UNDERGROUND TANK (MONDORNG1IREMOYAL) (, ❑ DOG KENNEL C1 DAIRY -7 G " 7t�' ( Z <br />® HAZARDOUS WASTE GENERATOR ll- ❑ CHICKERRANCH ® WASTEWATER TREATME PLANT <br />❑ TIERED PERMITTED FACILITY ❑ O5PA� ❑ LAND USE APPLICATION HEEISCAL TOILETS <br />F1PO <br />TATTDOIBODY PIERCING ❑ <br />❑ MEDICAL WASTE FACUTY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:0GPM (EXCLUDING HOLIDAYS) <br />t,tier uo to ten 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 rite type MUST be selected. Fax to 12091464-0138 or mail tothe address Indicated above. Address <br />ranges will not be aces pled -for additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pmwlll 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 fib reviews by the same applicant may require a >TZn Deposit prior to review. <br />Z' D 1 LI_ z', <br />-,j 0a , CD , d- i0 Ll <br />G y <br />EIID l9•a8 LL4bt7)124d'Lf'2a '11J 16-" 1A'W4a4e)td'10 <br />an/1t <br />Received Time Aug, 27. 2012 2:08PM No.0989 <br />