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- <br /> Page 1 of 1 1 2015-02-03 03: 17: 08 (GMT) 18884443080 From: Pawel Woloszyn <br /> ■ . FG . E� . ml' !� <br /> DA . R EH4 •I Q.G NVMBE-R <br /> r, `SAN JOAQUIN GQUNTY. <br /> ENVIRONMENTAL HEALTH DEPARTMENT ' ., <br /> : SEB <br /> o :a • f) d-10 • •. • 18.68 East Hazelton Avenue , Stockton , CA 95205 -6232 :a . <br /> • ' - Tele.phone : (20.9) 468-342Q .. Fax : ..(2.09 ) 464-01.38 Web : www,s) gov.-org /ehd - <br /> : (�N - 14 I . '$ , <br /> NNI�NTAL1-1EA1- % <br /> il�E1C PUBLIC RECQ,RDS RE.L. EAS. E :APP�L.ICATIQN <br /> . . . A:P.PLICANr: P'a% Q1 W0oloszVn: uSIN SS/.AGENCY;11. <br /> : :acinc. :Elviro entad <br /> . :AQaftw=ss . 1500 "W ' E1 ai iris Averi�xe # 45: CITYI$.T.ATErzlp : ' �- Mana(, ement _Inc.:. <br /> . r► onlE ( J);. 40916444 - 1 54 ..: PHONE .t2� :acr: acnto.,. . :� 1�.. 9583. 3 <br /> .�? ex anG Yahoo:. com <br /> : . Rlease :allow IOU inessAays fro m : date :of: applicatiorims u.bm ittal"fokhe .records-to be available. <br /> ":.Staff will contact you to arrange. .�n appointment date and time 'to review the requested records . - : <br /> M . CHECK 4OX IN <br /> TO FJCPED1TEf EQl1F T -..M3f) FFFF (1 :ASH •OR'.CHECK -ONM, - BEQUEST PROG.�$SED "IN ;3BUSINESS :DAYS . <br /> SIGNARQF : A _ PLI. CNTrt ' , f . . <br /> DTE .fiTJ, � I . ... <br /> Electronic .lnformatio.n ; • Q List ❑ Map — Description ; <br /> . . . . . . . . . . . . . <br /> . . . . , . <br /> FIL, E .ADDRES.S EHD USE .oNLY ' <br /> . . <br /> Strep N1. . . , sfrq@t.N.Ame. ' ,City <br /> Unit:1 <br /> 0. %h erlesarledbd w • <br /> aAri ... <br /> t <br /> 2: . :.. . : -Gr:antL- ilie::Ro:ad '. <br /> N. . o <br /> ".. 11 Ri <br /> t2. i <br /> . <br /> :3. . : 543 : . . ... . •w : ..Grant I; ne:.Poad . : :Trac , : . G . off... . fmN <br /> :4, - = s I ; � : . <br /> 1 . <br /> . ... . . .. ' . ... .. . . . : ' . <br /> 1 mm, " •• " • " .Unit 3 <br /> 5< . - N . mN. - <br /> MM <br /> s,.. ' : UST I,0 .. and": Ot11er :Cleanu . Site . S :on1V \ 0 Unit <br /> 7.. 474 : ' : . . :. . : - nt Line Road" • . ... M , ''I'xacy <br /> .. - - '- . . <br /> B• 'W. Grant. 11 <br /> L111e Road ae . Unit <br /> I'm <br /> . <br /> 4.5:5: Y <br /> s. : : . . . " <br /> : .. ... . <br /> 10. al you.,. 11 „ <br /> nit 6 <br /> _5pecific .0ate Range .o£ InfRrmapon . Requested4 From <br /> .ENVIRQNMENTAL HEALTH DEPARTMENT FILES ' . <br /> UNDERGRQU.ND TANK .(UST) CLEANUP,SIT.E (LOP) '.. MEOICAI WASTEFAci41TY. SOLID WASTE FACIIJTXIVEHICLE . : " - . . <br /> t . <br /> -[RQ.THER .C.LEANUP• SITE (NQN-LOP) ❑ }10U.SING..Af3ATEMENT Q, ASTETIRE <br /> UNDERGROUND-TANK (MONITORING/REMOVAL) : QFOODf-AGILITY- DAIRY <br /> • ABOVEGROUND TANK. I. ,0 :CHICKEN RANCHI .oG -KENNEI. , • mIm <br /> Q%•WASTEWATER TREATMENT1 Pam <br /> LANT <br /> : HAZARDOUS=-WASTE/HA7�lRDOUSMATERIALS - - .0 MQTELIHOT�L • . ' "- " • .- " PUMPER -TRUCKIYARD/.CHEMICALTQILEIS <br /> TIERED PERMITTED FACILITY ❑ l?OOLISPA LAND 1ISE APPLJPAT10I SITE$ . M . <br /> • <br /> : . - Q l ATTOOJEWpY. PIERCING C.OMP.LAIIyTIRESPONSE RECDROS . . OTHER: Hyd opomes- <br /> WELLAND SEPTIC -PERMIT RECORDS ARE. AVAILABLE FOR. REVIEW.: MgNDAY-FRIDAY :B ; OQAMo5 : QOpm ,(EXCLU.DING HO.LIDAY. S') <br /> 1 . List up to ..ten addresses in the space above . Select the type (s ) -of fifes 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. Applications. -received after. 3: 0.0 pm will be . processed the, next business . day. <br /> 11.2, For assistance in identifying, the nature. and content of EHD records, please contact EHD at the number- noted above . <br /> I. The EHD will notify.the applicant ii .any EHD files .-exist. An appointment for review will be confirmed approximately ten (10 ) <br /> :-days-after-rece! pL_o-f-apptLcatLon. The files will be held forma maxim_ um of five'.business days for review. Appointments <br /> .sho.uld be scheduled accordingly.. ' Y <br /> : 4, Any file .not returned fn the same condition as released will be reorganized by EHD staff at the expense .offill applicant. _ <br /> Future file reviews by thesameapplic.ant .may require .a $ 130 deposit prior to review . ***BOXED AREA I: EHD USE -ONLY***. <br /> ® Records :proyided .by Staff-PPR- Comple. te.. .stafF. Name: . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . <br /> EHO 48-06 081-01114 <br /> Received Time Feb . 2 . 2015 71, 16PM No . 8012 <br />