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TE RHCHiI/ED END LOG NUMBER <br /> ECEIVED %dSAN JoAau)N COUNTY ,,� � <br /> 4 /� ENVIRONMENTAL HEALTH DEPARTMENT <br /> � ? 600 East Main St. Stockton, CA 95202-3029 <br /> yTelephone: (209)468-3.420 Fax: (209)464-0138 Web:www.s19ov.org1ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Motni va.Gc-t> BUSINESSfAGENCr: (C- ;VV4W4 'R <br /> ADDRESS: 404 W - 0AAe- S4 • Ch'YISTATEiZIP: 1.eL Cl IS a <br /> PHONE('i): 314-033f PHONE(2): FACSIMILE: -30- <br /> TENTATIVE'APPOINTMENT DATE: 11 - 10 - I'Z- Time; 1 o=G-0__„_ <br /> (Phase allow 10 businssa days traan dada of appoaaoon eubrnaa-'rarNat"enb-must be ooarfka"M <br /> ❑CHEcK SOX TD EXPEDITE REQU -$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ArWi DATE2- <br /> ElectroBle information: ❑List❑ Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> Streets Street!fame Clry E3 Unit t <br /> ET k+ VW La.?-A . 5-Vaok hv% <br /> 2. 33;,Of 14 . 'wt r • 0 unit 2 <br /> 3. 3 9 q N . 'r"r e. Li A491- <br /> 4. LunR3 <br /> Unit 4 <br /> y. <br /> 10, a Unit B <br /> Speme Dabs Rsve of Infom"dion Requested: From ;1AM:!- --- � <br /> ENVIRONII OVAL HEALTH DEPARTWENT FILES <br /> aVJwmwjW TANK(LIST)CLEPAUP SITE(LOP) ❑Hcmis IG AIMATFIIEN T ©SDLM WASTE FACNMYIVEHICLE <br /> bj OTHER CLF.AW SITE(!!itail•LOP) C7 FooD FACiLUY WASTE TIRE <br /> UItflF.i MUND TAW(MoMlToxallollWWM) C]Docs KOMEr. ❑DAM <br /> HAZAp NSWASTEGMERATOR CFMf!w RAWS L WASTEWATERTMA71181T PLA11T <br /> Iff7on PERMIIxM FACILITY ❑Monu"OTM ❑i UMPERTWCrJYAR0X%EWJkL TaLET3 <br /> '❑TArwfflODY PIERc= ❑PootISPA ❑LAND USE APPUCAMM SITES <br /> ❑ MEDICAL WASTE FACILITY gCOIIPLADiT RECID11M ❑OMF,R(PWM SPEC <br /> VVELL AND SEPTIC PERw FZE ows AREAvjkfLA 2 FOR REVIEW: MONDAY-FRIDAY 8:00 A*Z:OOPM(EXCLUDING HOUDAYS) <br /> 1. I tat up to tan addMIM in the space above. Select the typo(s)of fg"horn the list above by chacld a the appropriate <br /> bax(es). At least one file type MUST be selected. E an=91 MMus or mall to the addees_Indicaad aLn. Address <br /> ra nquawill not be accepted-for additionaM assistarwa with file addresses,contact the F140. Applica ftme received attar <br /> 3:00 pm will be processed the next business day. <br /> 2. The END wH1 notify the applicarrt it any END files exist An appointment for review wtil be confirmed approximately ten(10) <br /> days after receipt of appilcatlon. The files wfll be held fora emxlenum of flva business days for review. Appointments <br /> should be scheduled aceot+dingly. <br /> 3. A Nle that Is actively being worked on by EHD staTf may not be Immediately avallable for review. A new application may be <br /> submitted when the Rte Is available. <br /> 4 Any Rile not returned in the same condition as released will be reorganized by END staff xt the expense of the applirrent. <br /> Future file reviews by The same sappk ant may require a$125 deposit prior to review. <br /> ENO USS ONLY <br /> Received Time Aug. 28. -2012_ 2.27PM—No. 1014 „1 <br /> OW A846 <br />