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Aug 19 2014 4: 43PM Ba- <br /> s Environmental , Inc Sic 49 8 ED \v,(, 2 <br /> D <br /> 0 LOG NU <br /> EE ppt�11M6ER <br /> �N A JOA QUIN COUNTY <br /> 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 1 `0 1668 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/eti <br /> rh1VIR0IJl,AENTFL HEN X11 T6 <br /> Pr_RMV-1[SER.viCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: SAM LowEy BUSINESS/AGENCY: Rw7HE,,jTAL�Itjc. <br /> ADDRESS: _65S 12." STILES-r CITY/STATE/LIP: OAKLAn104A gli4oT- <br /> PHONE (1): PHONE (2): Lt-go^tq FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be avallable. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. 1 <br /> O <br /> ❑ CHECK BOX TO EXPEDITE REOU T-5129 F t( ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS Ro " T" <br /> SIGNATURE OF APPLICANT DATE 8 1 t't ( IL1 <br /> Electronic Information: ❑ List❑ Map- Description- <br /> FILE ADDRESS EHD USE ONLY <br /> street P Street Namo City unit 1 <br /> 1. 360 6t crake# La,e n7 HMN oocce4otwL 3 <br /> 3. <br /> 4 UnIt 3 <br /> S. <br /> e• Ualt 4 <br /> 7. _ - <br /> S• unit e <br /> A. <br /> 10. U NB <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENT LHEALTH DEPARTMENT-FILES I1eJ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY �y°OLID WASTE FACILITYPIEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSINa ASATEVENT A3TE TIREI- <br /> �UNDERGROUND TANK(MONITORINGIREMOYAL) ❑ FOOD FACILITY AIRY `l <br /> 4OJEGROUND TANK ❑CHICKEN RANCHI D00 KENNEL �✓�✓�✓ ASTEWATER TREATMENT PLANT ✓ �' <br /> I2AZARfbU3 WASTEIHAZARDOUS MATERIALS MOTEYHOTEL - , UMPERTRUCKI'(ARWCHEMICAL TOILETS' <br /> L�TIENED PERMITTED FACILITY OOLISPA f.ANo USE APPLICATION SITES <br /> ❑ ODI <br /> TATTBODY PIERcma COMPLAINTIRDS RESPONSE RECO �{i OTHER(PLEASE SPICIPY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEW: MONDAY-FRIDAY 9:00 AM-SiDOPM(EXCLUDING HOLIOAYS) <br /> 1. Llet up to ten addrsasea In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(ea), At least one flls typs MUST be selected. Fax to(209) 404.0138 2=011 to the address Indicated above. Address <br /> ranges will not be accepted.Appllcatlone received after 3:00 pm will be processed the next buelnese day. <br /> 2. For assistance In Identifying the nature and content of END records,please oontaot END at the number noted above. <br /> 3. The END will notifytlle applicant If any END flies exist. An appointment for review will be confirmed approximately ten (10) <br /> days atter recelpt of epplicatlon. The files will be hold for a maximum of five bustneaa days for review, AppolntrhWte <br /> should be scheduled accordingly. <br /> 4. Any 1114 not returned In the same condition so released will be rocrganlred by END staff at the expense of the applicant. <br /> Futuro file reviews by the same applicant may require a 8125 deposit prior to rovlow. "'BOXED AREA -END U5E ONLY"` <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> a - ------- ✓` <br /> Received Time ug. 19. 2014 4:52PM ND�� <br />