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E VE. 1:tio Lac � <br /> DATE RECENED SAN JOA,[ UIN COUNTY <br /> FEB 4 Z613 'ENVIRONMENTAL HEALTH DEPAARTMEHT { <br /> ENVMON;MEN-MLHrXTH 186 East Hazelton Avenue, Stockton,CA 95205-6232 - f <br /> PERViffISEIT410E lephone; (209)466-3420 Fax: (208)464-013:8 Weld: www.sjgov.org/ehdL � <br /> PUBLI RECORDS RELEASE APPLICATION <br /> APPLICANT: � � C f' ./"� ��L -t' �I�{":��:r� BUSiNESS1AG'ENCY:. <br /> ffiYY/8TATE1ZTIP: ° <br /> I?I4OlAi (1):� yF'3 -i PHONE(2)- _ F,AWSlMfLE:_ <br /> TEN'rA7TlVE'A€ POIPlTMENTDAIrE: __ -- 7I �: <br /> (Please allow 10 business days from date pf applRCat[en submittal- Tentative•only-must Ise confirmed) <br /> CHECK 6ox,To Expmae PeouEST•S125 Fr=E(CARH OR CHECK CWLY)-REOLFEST PPOOESSED IN 3 BUSWES.S SAYS <br /> SIGNATURE OF ARP.PLICAN7 DAVE - <br /> Efectrvnio Enformataiolt. List tVfap >sescrlptIon� <br /> •FILE ADDRESS F_HD USp ONLY ` <br /> Street fk Street Mama it1f T �t_k U-It <br /> 5 F <br /> . <br /> J1, El Unit 2 <br /> u- _ ) ...._. .._ .�. <br /> k15 n <br /> Unit 3 <br /> - - Unit 4'• <br /> 7. <br /> Unit S <br /> p <br /> -- — - _. -- T-_ _ �... <br /> 1U. i © Unit a <br /> speOfic Oat*Range of Irtfosmateon Requested: . From _ (�.��i�.._ !�/ � - �' t L -c,-{� "` <br /> EMVIROidMENTAL HEALTH DEPARTMENT FILES —_ <br /> ❑LINDERGROUNO TAI1K(UST)CLEANup SITE(LOP) EI MED)CAL WASTz FACIU Y E1 SOLIA WASTE FACILITYNEHME <br /> ❑OTHER CLEANUP SrTE(Nowl-OP) HOUSING MATT MENT WASTE TIRE <br /> ©UntI ncRfluNDTANK(MONr10"G1REMOVAL) Fj i--�Foon FAcury C]DAIRY <br /> QAaoVEGROUNDTANK UCHICKENRANcWDoGKENxEL ❑YVA$T-ATM-rR£CTMEtqTPLANT <br /> 0 HA2ATMO1J54NA5Ti$IAZARDOUS MATERIALS O MOTELWTEL 0.?UtAPFA' TtRIlGK1YARA1C1iEkf!^AL TOf1ri8 <br /> 7TAR o PERwTE:3 FACILITY ❑POO115PA El LAND OSE APPLICATION S€rES <br /> TATTOOIBODY PIERCING Q CCiMFLAINT1i7E5PONSE RECORGs 0714ER(PLEASE SSPECWY) <br /> WELL AND SEPPC i'ERMICT RECORD5 ARE AVAILABLE FOR REV€EW L MONDAY-FRIDAY S:{Tfl Aid-5:00PM(EXCLUoiNa F6oLwAYs} <br /> 1. List up to tent addresses in the space above- Select the;ype(s)of files fraen the list above by ehacking the appropriate - <br /> bax(es). At feast one file type MUST ST be setected. Fax to(2091 4-64-OJ38 or mail to the address indicafed abotro. Andress <br /> ranges will not.be accepted-for additional aselstan,ce with file addresses,contact the EHD. Applicaflons retelved after <br /> II 3:DO prn will be processed the next business day. <br /> 2. The EHD wig notify the applicant if 411y EHQ files exist. An appointment for mvfew serif lac conflrrlled Approximately ten(10) <br /> days after receipt of application. The files will Le hold for a rnaXimur`:e of rive business.days for review. Appointments - <br /> should be schec[Wed accordingly. <br /> 3, A file that is actively being worked on by EHD staff may not b®immediately available for review- A new application may be <br /> submitted when t6o file IS available.. <br /> 4, Any flle not returned in the same condilldn as released will be reargarRzed by EIiD staff at the expense of t"applicant. <br /> t=uw-re Fre ravlews by the same applicant Inay require a S125 deposit prior to review. as <br /> "BC3x I�: 'ix Hf HiT iI5E CstV!Y <br /> i <br /> n <br /> . .. mom.. <br /> :.< ,.. <br /> l 1 s <br /> b.€ and Prov lied fad SEa 1 F c }.4et?'s( (rtt e m`._._— <br /> �..,M <br /> Sd4%ti <br /> Recei-ved Ti-me Feb. 4. 2013 12:3.1 RM No. 2218 <br />