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66/410/2014 16:13 9164644E SWRCB PAGE 01101 <br /> �X T V IO` IED SAN JOAQUIN COUNTY GOPY <br /> rr 6 ENVIRONMENTAL HEALTH DEPARTMENT ��/ _O <br /> JUN 10 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 (� <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehdc /\(\`r)�//�rr�1 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> 1 1 PUBLIC RECORDS RELEASE APPLICATION ��� � <br /> APPLICANT: LOQ•(1 ��`J'- •�:O( BUS(NESSIAGENCY:L KP4tcr� CA aK( A1,4 <br /> ADDRESS: I(C)'10 '5i In ( -,T4r t1 -1x7 CITYISTATE/ZIP: ( r_!l� rfY ,t 1a. CA '7� 21 <br /> PHONE(1): (0(16) L{-7g`0 PHONE(2): FACSIMILE: a)( G)t{Co'{^ (A GOO <br /> TENTATIVE'APPOINTMENT DATE: ( ou > ,2uLL1 Time: ' 'ASan-) <br /> (Please allow to businoss days from date 0f a (cation submRfal-'Tentative only-must be c0nfirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-8125 FEE A OR CF}ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT /�rl f/ter DATE Co `IO' <br /> tElectronic Information: ❑ List❑ Map-Description; <br /> FILE ADDRESS EHD USE ONLY <br /> �^ <br /> street K Street Name city 7i Unit <br /> 0 1 J_kQ At(v6Ct WCLLV <br /> 2. e . I lGl: co" amu Unit <br /> SIN j 3. (' ,I,t;an;� <br /> / Lb coa <br /> 4, UnR3 <br /> g- ❑Unit 4 <br /> g, Units <br /> 9. <br /> 10, D unit s <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACIUTYNE HICLE r IIS <br /> ❑OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE Ci7K�j <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) ❑DOG KENNEL _. ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑.CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT k'ri� <br /> ❑TIEREDPERMITTED FACILITY .Q NIIOTELIHOY%L!%,� ❑PUMPER TRUCKIYARDICHI'MICALTOILETS <br /> ❑TATIOOMODY PIERCING ❑oOOLISPA ❑LAND USE APPLICATION S TES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING "IOLIDAYS) <br /> 1. List up to ten add[esses In the space above. Select the typa(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)484-0138 or m It to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD, Applications receit ed 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 approxima,ely ten(10) <br /> days after receipt of application. The files will be held fora maximum of five business days for review. Appolntments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff, may hgt.lig„( r iateiy available for review. A new application may be <br /> submitted when the file Is available. -- In <br /> 4. Any filo not rotumed In the same condition as released will be reorganized by EHD staff at the expense of the 91T�plicant. <br /> Future file reviews by the same applicant may require at$1 25dep'osItprlorto review. <br /> �..1 :x' 2� z17Z kr- LIST,Q ).Ac + GD 0M S <br /> ( 'FN nr cccz�i��i1�G pr 510t:,) fib: tlW G�'-yc:5e,itiik Ave rS MdLi'2- Ltsi <br /> -EHii tib�s - _ enm <br /> Received Time Jvn. 10, 2014 4: 11PM No. 6311 <br />