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111 <br /> 4: Mar. 1. 2014 12: 35PM ND ,0334.. <br /> 830VW3SWlN83d <br /> 0AR!4N3WN081NJ3 SAN .JOAQUIN COUNTY h EHD LqNUMBER <br /> bIOZ L 8vW ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ®� A { ne: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: _�I A `'P C ) }�l'l BUSINESSIAGENCY: Lo �_("�7 C— �t7 yr II <br /> ADDRESS: I �U(1 !Calv�ni�o , �'fv��ytdPzt zc"C' CITYISTATEIZIP: PIYr1SC11C7inYa.✓rp, 'rtaiCYca <br /> PHONE(1): ti II i' i(+('r ri h tr 6 PHONE(2): 9 cl (•(r j& FACSIMILE:_jlri <br /> n TENTATIVE*APPOINTMENT DATE: SeV Ck C ry p i e S r I rrr fl'CCYI ie � Time: <br /> ,I V� (Please allow 10 business days from date of appllcatidn submittal-*Tentative only-must be confirmed) <br /> ;gQ�-�5 ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> am e.? SIGNATURE OF APPLICANT DATE Q 3 Jn,c� f/q <br /> Electronic information: ❑ List❑Map—Description: <br /> r FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city - hit <br /> nVP <br /> i MM2. . -)' Vl 4� J'i` f'tr�' \��K j before I K �bItNaUnit 2 <br /> 3. }DS I fif�r� { rJDf� �occr�p <br /> �/ <br /> 4. Ll Unit 3. <br /> 6. <br /> Unit 4 <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. <br /> ;) ®"Unit 8 <br /> Specific Date Range of Information Requested: From to r ,4'� iA•t- - <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ©.MEDICAL WASTE FACILITY D.SOUD WASTE FACILITYIVEHICLE <br /> Q,OTHER CLEANUP SITE(NON•LOP) Q HOUSING ABATEMENT ❑WASTE TIRE r1 /��ry� I <br /> Q UNDERGROUND TANK(MONITORINWREMOVAL) E]FOOD FACILITY F]DAIRY ) `"c� �bi <br /> Q ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL I U <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS WASTERTRUCKREA DICHEMICAL F. <br /> ❑MOTELIHOTEL �PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA •❑LAND USE APPLICATION SITES <br /> ❑TATTODIBODY PIERCING [SI COMPLAINTIRESPONSE 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 up 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. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file 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 behold 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 same condition as released will be reorganized by EHD staff at the expense of the a plicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. f�^'""```%�D 10_pi 11481 <br /> =tf, <br /> ABy MAN <br /> T..}:. '.' <br /> R4i/�(r�,Ql�')��9�,�.i�p!-�:�J•5=!ry- `4T��}. .'V'-'�pI "�'_4��b �laS,r`s�a s 1y�?�^ K•ry, �� _ ." ,c <br /> tx<1erl� cn�ar�')ier�V $ 6j y [DRiv P <br /> 9/4112 <br />