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AUG-26-2013 MON 10:59 11M Moor Twining Associates FAX NO, 5FQ 268 7126 P. 02 <br /> REMYED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AU6 2 A 42011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4A"' ph <br /> 868 East Hazelton Avenue, <br /> ENVIRONMEStockton, CA 95205-6232 <br /> epf� ne: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PfpMITIS <br /> UBLIC RECORDS RELEASE APPLICATION <br /> APPLICAh;(; ��r e_Z BUSINESS/AGENCY: <br /> Dore Ti..;.,,• ., /-1 isvc.atfs. <br /> ADDRESS7 res no CITY/STATE/ZIP: Fres c a 437Z / <br /> PHONE (1 26 f3 70 2 PHONE(2): �SSa� 9��_ qSyFACSIMILE: CSsq7/ 26 <br /> `APPO NTMENT DATE:�/s /i 3se allow 1 business days from date of appllcation submittal-•Tentative only-must be conTirm TO EXPE ITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNAPPLICA T DATE <br /> Electronic Information: List❑ Map—Description: <br /> ILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> � C1 Unit 1 <br /> Cye "U:D i ) <br /> 2. 2�2 � GGIa ���� Lc rJr.c.< Svc Aum �ii)v' A� �. .'\iD ^ '�� r'L1 Unit2 <br /> ��- 4. 8.'06 5Tom::`` <br /> t �� <br /> ' Unita <br /> 5. ( /'\V1 r c., .4ve��< +o'� i.NUCli(7� <br /> (). 3 0 7. <br /> � � Unit4 <br /> 8. <br /> SCC ItJ n v 1JU, A 1 ❑ Unit 5 <br /> 9. <br /> 10. <br /> nit 6 <br /> Specific Date Range of Information quested: From O—(( K to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY $OLID WASTE FACILITYNEHICL r` � <br /> /' n <br /> r <br /> 40THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRE '� �S �CLEANUP SITE(NON-LOP) <br /> " <br /> UNDERGROUND TANK(MONITORINGIR MOVAL� ❑FOOD FACILITY ❑DAIRY f- J C--7_0 <br /> BOVEGROUNo TANK \- ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT - <br /> HAZARDOUS WASTE/HAZARDOUS MAT RIALS ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA [/LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECO DS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List ul2 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 UST be selected. Fax to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted-f r additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the ext business day. <br /> 2. The EHD will notify the applica It if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of applicatio . The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordin ly. <br /> 3. A file that is actively being wor ed on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is avail ble. <br /> 4. Any file not returned in the sam 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. 'f30XEp AREA EHp USEONI,Y <br /> -, 'y71 <br /> ..'•.:.':.':. is .)................:...............::.: —y—f;-•:':::>5::._ '•'.1�::. <br /> I <br /> Reco:tds::provld d:lay Staff: <br /> EHO 48-06 <br /> 914/12 <br /> Received Time Aug: 26, 2013 10:50AM No. 3921 <br />