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12/20/2011 ~16: 27 V 933aFg74 WGR SOUTHWEST INC COPY/01 <br /> REGUVED SAN JOAQUIN COUNTY TILEEHD LOG NUMBER <br /> �C 2 O 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> �f♦ ,ONMENTALNf_A *phone: (209)468-3420 Pax. (209)464-0138 Web: www.sjgov.org/ehd <br /> i'' NIITISERVICES <br /> UBLIC RECORDS RELEASE.APPLICATION <br /> APPLICANT: bV 61 i_ ru I_h"'�''' � �' BUSINESS/AGENCY: ��`v Co - ru 1 <br /> ADDRESS: -:?l!;— W. CITY/STATEIZIP: Lo A I GAN as--Z { 0 <br /> PHONE (1): C?_o y 33 �( S- �3 x4*6HONE(2): �"� FACSIMILE: zU 11 3`F-- <br /> TENTATIVE*APPOINTMENT DATE; �� 'F z v r v Time; Lx—�f k, � <br /> (Please allow 10 busineas days from date of applicatl n submittal-*Tenfativc only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ UES 125 FEE(GASH OR CH- ONLY)-REQUEST PROCESSED 1N 3 BUS NESS AYS <br /> SIGNATURE OF APPLICANT - DATE (2 19 1 I I <br /> Electronic Information: [] List❑ Map-Description: <br /> FILE ADDRESS EMD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. -9 09 " G r,2.0-..r fc-e r v e . r4-o 'k4-0 r� f <br /> 2. ?" �� G'a✓cs p..��y�l� AvC - 5�-�0 �.kkav� ✓OUnIt2 I� <br /> 3. &O Q -LA disc.(-A.✓ A I r"w vJ T <br /> 4. &o Fa - C I(3 .r*-e A-L V_A.- A Y-i-- °� � unit 3 ✓ <br /> r') et. 0" +e/l/oor p,,�o �� <br /> 6. S t O G;trr+ar r�cA,✓c �� Zlilit 4 <br /> 7. <br /> Unit 5 <br /> Unit 6 <br /> Specific Date Range of Information kequested: From o(dt-y-.5 (— to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES III���222 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING A9ATEMENT OLID WASTE FACILITYIIIEHICLF <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY LKWASTF TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL [:1DAIRY <br /> AZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCK/YARD/CHFMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 25COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List ue to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es)- At least one file type MUST be selected. Fa o(20914640138 or mail tci the 2Lldress indicated above. Address <br /> ranges will not be accepted-for additional assistance with filo addresses,contact the EHD, Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <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 /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the some 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$125 deposit prior to review. <br /> FHU USE ONLY <br /> EHD 4806 611111 <br />