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May 12 00 09.10a Bagley Entemds�� (2097-&124 p.1 <br /> DATE RECEIVED EHD LOG NUMBER, <br /> SAN JOAQUIN COUNTY <br /> nVIMOPllMENTAL HEALTH DEPARTMENT <br /> �l 30' t Weber Avenue. 3 .Floor,Stockton,CA 95202-2708 <br /> 'T' ^ I <br /> C6100hl (1' 209)468-3420 Far:(209)464-0138 Web: www jgov.org/ehdZ#3�(—JI <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ` T <br /> APPLICANT:JRS4�6 Bagley BUSINESSIAGENCY.Bagley Enterprises,..Inc. <br /> ADDRESS' 2.170 Maggio Circle, Ste 4, Lodi, 95240 <br /> PHONE(9); X67-4800 PHONE(2): 3,(29�y-00582 �,�,�,/� FACB4MILE! 367-54"24 <br /> TENTATNE°APPOINTMENT DATE: /h'�/^•n�r�7. MIRY 2.S CC./LC�J 'Mt®: <br /> (PNaae allow 10 bssalnerBa days hem Aato oI epplk Wn wbmft W-bra 0've on7X.n: t bo c0V1Ma4) <br /> CHECK BOX TO EXPEDITE R 00 FEE(CAV OR CHECK ONLY)-REQUEST PROCESSED IN S 8U81NESS DAYS <br /> SIGNATURE OF APPLICANT DATE 4S"/z ape <br /> UNIT DISTRIBUTION Ounit 9Unit2 tl Unita e7 Unit ❑ Unit 5 O Unit O Other(olootronreRhWr iG) <br /> _ _FILE ADDRESS _ EHO USE ONLY <br /> Sireo�— tOnStreet Nemo r CZ7.r <br /> 1—T8Tb ✓ Last gaze -�6toTton <br /> 2 121✓ S zX juin <br /> SE-.—I Toes.a6n - <br /> 3 1..7000✓ MLch-Le1 Canlis Dr (O� I French Cam a <br /> _� 5(X7✓ a Hospital Rd, French Camp <br /> 5 4+ N _;Hide Crov-e_Rd. N. _ LOD_I -- J <br /> s. 4 20✓ _-.._ Inr. St.9rk0n_ _ .. . <br /> 7- -0.00✓ .__..SI Lchacl..Cw]is .Blvd Ua ' 1 French_Camp <br /> 8- <br /> _ 0879 99_N�, Frorta>?e�td _.Stockto <br /> 9 975—�_W.._LoweliAMP, 1 —... L1mcy . ....... <br /> 1 D. <br /> SpeCifrc Date Range of Info; n oa Requested:From Jan 1, 2003 10 May 1, 2006 <br /> - - --- ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UIIcERGROUND TANK(UST)CLEANUP SITE(LOP) G HOUSING AsATEMEW 0&9LIDYrAssm FACILITY/VEHICLE <br /> �0,/rT CHER CLEAMIPSRE MNlOP) 0 FOOD FACIUTY ❑wASTE TIRE <br /> X ERGROUND TANK(MONITORPNGlF.ENOYAL) ❑DOG KENNEL M DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑wASTEWATERTRG- MENTPLANT <br /> C TIERED PEMMITTED FACILITY D MOTEUWJTEL PUMPER TRUCIVYARDICHEM TOILET$ <br /> 6 TATIWBODY PIERCING 4 POCILISPA ❑LAND UZEAMI-r-ATbONSITEi <br /> In MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMT k--0DP=ARe AVIkKAPLE FOR REVIEW - 19ONDAY-FMAYH:DOAM_5:RDPIA - FXCLUOINOHOLIDAY3" <br /> 1. List up to ten addresses in the space above, Sellectthe type(s)of Tiles from the list above by checking the <br /> apprapriate box(es). At least one file type MUST be selected. Fax to(209)4&}.0138 or mail tq the addres-3 <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contaet <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 nTiv <br /> appficRUOI;l may be submitted when the file is Available. <br /> 4, Any file not returned in the same condition as releaserd will be reorganized by EHD staff at Uia expanse of the <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> sn. s <br />