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Aug, 13. 2013 4: 28PM No: 0021 EhP�2�NUMBER <br /> A �E �✓ <br /> VE® * SAN JOAQUIN COUNTY �O <br /> ENVIRONMENTAL HEALTH DEPARTMNT <br /> AUG 13 2013 1868'East Hazelton Avenue, Stockton, CA 95205-6232 w <br /> Telephone: (209)468-3420 l=ax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONMENTALHEALTH <br /> PERMITISEFMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: SQYGL BUSINESS/AGENCY: +\`A a r <br /> �,?p) CITY/STATEIZIP: SAnSAS2 Ch gS11Z <br /> ADDRESS' 1155 --� <br /> PHONE(1): 00 (�0(v PHONE (2): WJe 299�48i8 FACSIMILE Nt} 318—(02-00 <br /> TE <br /> _T1 VIE DATE: (Ut5 yftht4kiPZ7Time: ORo++ <br /> (Please allow 70 husiness days from date of apPllc on su mittal-•TenteNve only-must ba confirmed) <br /> ❑CHECK BOX TO EXPEDITE RE52Vap�- <br /> -$125 (C SH CHECK ONLY)-REQUEST PROCEuSSSED IN 3ATE $BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: [�List Description: vn 113113 <br /> A^ 0- h 4 feitdm It Ia; S <br /> 1, FILE ADDRESSeHD U.SE ON <br /> Street# Street Name City /' f <br /> 1111 A+I <br /> nit 2 <br /> 2ZO I a tet chi <br /> 3. tl0 NNtY I1✓� bfvG�1''�t /LAMP / <br /> 4. ;F fPe .5t c t— s�'DG� I1 `LInit3 <br /> tfYlm M o ca9� L (d' <br /> 6. D� ) /ZOt AI GJ� L9unita <br /> i <br /> 7. <br /> UnI�5 <br /> 10. �n0 6 <br /> Specific Date Range of I i Re ested: From s f' Q [� 5 to /' t4 ✓�n <br /> ENVIRONMENTAL HEA THD PARTME T FILES <br /> /UNDERGROUND TANK(UST)CLEANUP SITE [TMEDICALWFACIUTY Hi <br /> ASTEIJ OLID WASTE FACILITYIVELE <br /> [•OTHER CLEANUP SITE(NON-LOP) El HOUSINGABATEMENT WASTE TIREr(�nr1�3 <br /> ry IRY YQ, <br /> i� NDERGROUNDTANK(MONITORINGIREMOVAL) El FACILITY WASTEWATER TRtrpT�j5NT PLANE <br /> ABOVEGROUND TANK <br /> E]CHICKEN RANCH(DOG KENNEL <br /> [Jr r'UMPERTRUCKIYARDICNEMICAL TOILETS <br /> RUAZARDOUSWASTEfHAzARDous MATERIALS E]MOTELIHOTEL ®'LAND USEAPPLMATION SITES <br /> IERED PERMITTED FAciarY ❑POOLISPA PLEASE SPECIFY) <br /> ❑TATTOOIBODY PIERCING � Q COMPLAINTIRESPONSERECORDS E]OTHER( <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1, List up to ten address�s in the sp cr ti boP pre. S a Fax 4 t the hl2091464 013B o mfrom tail tohe sthe add et above ss Indica ed abovng the e. Add ess <br /> pe(s)of files <br /> box(es). " ' - 4pplicatlons received after <br /> ranges w <br /> 3:00 pm <br /> (Firmed approximately ten(10) <br /> 2. The EH D Q pv`: /)? es o D 3rreview. Appointments <br /> days af � �� 8757 r iSIO(v tDfXV 3q Pt310G/ Aj/ <br /> should h 0 P / <br /> 3. A file tha a Iq 6 02 d EL w. A naw application may be <br /> submitte caos1 @3 ;2rpt • 7-kk Fol10Wn1 /.0 kx+nYSQr� 10 n <br /> HIL <br /> (oj� / ' s n ddn C Oamr� SfilP i�-!W6515,1J a xx ensaofthea� Iloant. <br /> 4. Future fll file � X31�,Z ar :.A- tta r41 W H L J fila. i�'> dolt <br /> g - <br /> ,, � g-li-t�• . rar � <br /> R �rovided-by-&tafF P-PR=6'GmPtete.staffName ` wi �Z <br />