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,RECEIVED <br /> rmcI E RE CEI VW y. Y Eh10 LOG NUMBER <br /> . <br /> JAN 2 6 2011 Sant JaAr�uw COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT � �� <br /> ENVIRONMENTAL HEA 000 East Main St Stockton, CA 95202.3029 <br /> PERMIT/SERVICES �'ophorts: (2f79) 48$-3420 Fax: (20g)464-0't3$ Web: www sjgov org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESSIAGENCr <br /> ADDRESS: .J/37/CfrvfSTATEIZIP L'yrdc,�,kri.+" <br /> PHONE (1): .......-- - _.— _ -....... PHONE g2): FACSIMILE: <br /> T N7A7rVE'APPOINTMENT OATC Time <br /> { Itlreee allow 10 bueinesA days from Gala of aippticMlpn sabmKtal Tantal7wv only-moat be cantlrmadl <br /> CHECK WX TO.ExPEDITE RCOUEST-$115 FEE(C i CHEC t)N REQUEST PROCESSFO iN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT d 2 _ ""'---" DATE <br /> ElectrDlltC Inform stfon: [) Lieu❑ Map–Description:_,,,-_.__..___..�...__.........._-- <br /> FILE ADDRESS r•_Fm USE ONLY <br /> BlreH a Street Name City _ <br /> I 7y U Unit t <br /> G��YAIuS ,06 /`,'N///'r�FC�1 �Ge/� 5�{aLiW Qrao; I <br /> 2. 4,.r ve4*'� '3?40 N-4 je,�> � (r 14/Gf� S_atL. 1128111 <br /> I `I( tj Uin112 <br /> �unit3 <br /> �. l,.;JyWY�r,'gF�i/aJ�f 1.11�'f(� ,(jp-Yyi(:�f,/�/�/ ,}���L�Jj-l�G'�r�r"T�/qJ )/ "J <br /> 6. 1�NL>r /N'F- We6l`ltrr 1,`,r4 3�)� !t")r�/�' /"T� f t/f 6-37✓ ED unit* <br /> 7. <br /> 6. <br /> ❑Unit 8 <br /> Specific Data Range of Informalien Rorivested. From to _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES -"'"-- <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) F-1 H011s to ABATEMENT J� ❑SOLID WASTE FACILITYIVENICLE <br /> C�OTNER CLEANUP SIT'[(NOR <br /> u -LOP) ®FOOD FACILITY-/N'r✓r+cf+en FC�G,-fx' [)WASTE TIRE <br /> UNDERCROUND TANK(MONITORINGIRENOVAL) El Doo NENNEI. p�DAIRY <br /> HAZARDOUS WASTE GENERATOR [,]CMK;KEIt RANCN <br /> [J T E'RED PERNrcrED FACILIT v ❑r--1 WASTEWATER TREATMENT PLANT <br /> C,]MOT t'LIHOIEL D PUNPER TRUCKNARDICNEMICAL 10u 1S <br /> TAT ID0ISODY PIERCING (]POOLISPA C)LANs USE APPLICATION Skies <br /> Ll MEDICAL WASrF FAOI.R'Y 00TNCN(PLEASE SPEclfy) <br /> WELL AND SEP1nC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8 00 AM 5 OOPM(EXCLUDING HOLIDAYS) <br /> I. LIQ}-UD La ton addresaeg In the apace above. Select the types)of filet ft-OM,the list above by Clocking The appropriate <br /> box(es). At least one filo type MUST be selected. Fax to 12091 464 9 8 or an,zil lw the a 7�d,r s-rndicatsd above Address <br /> ranges will notbe accepted-for additional assistance with fife addresses,contact the END. Applications received after <br /> 3:00 For will be processed the next business day. <br /> 2. The EHD will notify the applicant If any END files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of Application, The files will be hold for a maximum Of five business days for review, Appointments <br /> should be scheduled acrordingfy. <br /> 3. A file that Is actively being worked on by END staff may not be Immediately available for review. Anew application maybe <br /> submitted when the file Is available. <br /> 4. Any filo not returned in the same condition as released will be reorganized by END staff at the expense of the applicant- <br /> Future file reviews by the same applicant may require a $115 deposit prior to review, <br /> S. If you need further assistance,please contact Diane Manlne2,at J2091468-3425. <br /> aS@ VSE ONII <br /> ......... -. __ <br />