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a - <br /> *I EHD LOG NUMBER <br /> RE A. �'lye,.,L"j% SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT A <br /> rulV U 8 Coll 600 East Main St, Stockton, CA 95202-3029 too <br /> Telephone: (209)468-3420 Fax: (209)464-013BWob: www.sjgov.org/ehd W <br /> ENVIRONMENTALFERMIRIVICE UTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/SERVICES <br /> APPLICANT:_. 2 � —_-�6USLNESSIAGENCY: _f�GL15T¢ [j�yt11L'fl <br /> ADDRESS . (_.. i/+moi.leg, CF`r2/CITYISPATECLIP:_4e�i G lh>L r1 i V4 <br /> PHONE(1): PHONE(7): FACSIMILE:__�_ _. <br /> TENTATIVE'APPOINTMENTDATE: Time: _ <br /> Infests All 10 business days fromdata of sppllcadon submittal Feritaliva only-must be conflrmad)�� <br /> CHECK Fox TO EXPEDITE REQUEST,$115 FEE( 1 CHEC. N X <br /> REOUPST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Elactronle Information: 0 List(_J Map—Dsscripticii71 <br /> FILE ADDRESS EHD USE ONLY <br /> $treat 0 Stew Name City I to F Ips Fo- Vni k l nit, <br /> Z. .owve4Arudr., 3/40 aiglke Pd !-r--44y u-3tCaUnit 2 <br /> 3. I t x1&- . - Z2g3 Wr <br /> C serr X307 v� $ , � E� / / i <br /> rJ Unit 3. <br /> s. 13"rr)6 yds/ / �>� {! Std 9. <br /> S. jlje�Gf� l tf tfire /7Y-3-WI4 /_$yl�._ /`*%1 a .317` 0Unit 4 <br /> T• 1 Rabin $ Li{r51y $t• G F v*eCa,CA 45j5{- <br /> a. <br /> Q Unit r, <br /> 1 D. <br /> untie <br /> Specific Data Range of information Retlueeted: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES_.__ ..�....—"'._—.......—. ..'. <br /> t,r-l�UNDERGROUND TANK(UST)CLEANUPSrl(LOP) DHONfiINGABATEMENt ❑SOt.w WA$TEFACLLITYIVEHK:LE <br /> u O1 Ul R CLEANUP SITE(NON-LOP) PODO FADILTrY/°i3�&��(i'rrr G'yau� I'�I WASTE TIRE <br /> UNDERGROUND TANK(MONITORINWRCMDVAL) DDG KENNEL Lemli DAIRY <br /> HAPARDOUS WASTE:GENERATOR CHICKEN RANCH <br /> []WASTEWATER TREATMENT PLANT <br /> L]'TIERED PERMITTED FACILITY [I MOI N IHOT ELL PUMPER TRUCKNARDICHENICAL.TOILETS <br /> Ej TATTOWEIODY PIERCING ❑POOLISiIA <br /> C, MEDICAL WASTE FACILITY I�LAND USE AI'M'LICATION SITES <br /> []Q'IwEH(PLEASE-SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pra(EXCLUDING HOLIDAYS) <br /> 1. Ll4k as to j®n,M i ay, aaa in the space above. Select the type s)of files from the list above by chocking the appropriate <br /> lnox(osl. At lass(one illi typo MNST be selected. Fax to 12057 454-0138 or mall jg, tuo ad ose indicated abdvc Address <br /> ranges wHI not be accepted-for additional assistance with Nle addrassoa,contact Une EHD. Applications received after <br /> 3:60 pm wit be processed the next business day- <br /> 2. The EHO will notify the applicant If any EHD files exist, An appointment for review will be conluned approximately ten 110) <br /> days after receipt of application. The files will bo held for a maximum of five business days For review. APPointments <br /> should be scheduled accordingly. <br /> S. 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 trio expense.of the applicant. <br /> Future fila reviews by the same applicant may esquire a$118 deposit prior to review, <br /> S. if you need further assistance,plaasa contact Diane M!artlnez,at(205)468-425. <br /> .... _ ..^_..... Elm t1a60NLY <br /> ��X_ �rlrpwporia -M'K L`traaY�s1a_, Boa _7?N.� 7� <br />