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Ju1. 15. 2016. 12:04PM Doolee Pump Co ���oAID <br /> LOG NUMBERP. i <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL 15 2015 1888 East Hazelton Avenue,Stocldnn,CA 95205.0232 <br /> "r^?PPa�j.Pe>L Telephone:(209)488.3420 Fax:(209)404-0138 Web:www.ajgov.org/ebd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sadtk Algharazi BUSINESSIAGENCY: <br /> ADDRESS; PO Box 1513 CITYISTATEIZIP, Turlock,CA.65381 <br /> PHONE(1): 200587-0731 PHONE(2): FAX OR E-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Slalf will contact you to arrange an appointment date and time to review the requested records. <br /> 14CHECK BOX TO EXPEDITE RF�EST-$130 FEE(CASH OR CHECIC ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ¢l .Q _ DATE 7/16/2016 <br /> �q <br /> 1. List up to ten addresses In the space below. Select the type(s)of Files from the list below by checking the approprlale <br /> box(ea). At least one file type MUST be selected, fax to 464. 138 or mall to the address Indicated above, Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In Identifying the nature and content of EHD records,please contact EMD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten 00) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Informatlon: ® LISt®Map—Description: <br /> Specific Date Range efinformation Requested: From cumnL to Im2oli <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> • NOERG%UNDTMK(Usq S <br /> treet Street Name city <br /> �CweuuEn <br /> CuuuiuP Sae(LOP) <br /> �OTxER CLrnNUPSmE(NONLOP) W. Harding Way Stockton�T�,0HAZARDOUWASTE <br /> P1TIERED PEW ED FACILDT <br /> AE ORUUNDTANK ❑ Q"'�I <br /> PvA �/ IM <br /> on UST (MONfroRING f REMOVAL) �!,,/�� lj�IV��cB <br /> wAYL9DOVs MATEPIAta <br /> VA4L coo <br /> SPIUJ ELWE RES"SE S'GIATFACLI.LLfM <br /> S0LI0WAEfEFACILnY1VEHICLE 4 �✓ <br /> 0 FOOD FACRrrY (� 0 SRC MRM+110H <br /> j]POOL I SPA <br /> 6 <br /> 0 OA P'! <br /> LARD USEAPPLeKnON ScES _ ❑HONCHO <br /> ❑SEPRC PUMPER TRUCKI E <br /> YARD ICMEMrpLTOILM COPA <br /> [:]WA FWATERTRECTMENYPLAXY <br /> j]HDHSINO AUPIEMENY T <br /> 0 MOTEUHOTEL CUPA U O i <br /> CHIfxEN RANDH Indf`NENREL D <br /> MEDICAL WASTE FAMM $W 0 WAafE <br /> iArlooleoor PiEaaxc <br /> WASTE TIRE S <br /> n cDwpuu T f,AO`AUNRW <br /> OTNER(PLEASF SPECIFY): <br /> 10 <br /> • •"BOXED AREA•EHD USE ONLY"' <br /> ❑ Records provided b Staff-PPR Complete. staff Nama: <br /> EHD 49-06 <br />