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I� <br /> Sep-13-2013 07:41 am From-URS CORPORA T� 2153671000 T-602 P.001/001 F-173 <br /> DATE RECEIVED <br /> USAN JOAQUIN COUNTY EHD LOG NUMBER <br /> tUENE® ENVIRO 'MENTAL HEALTH DEPARTMENT w <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> SEP 1 3 2013 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> TH PUBLIC RECORDS RELEASE APPLICATION <br /> �❑��,enrrtf�I EFNIC <br /> APIOAN Y BUSINESS/AGENCY:__-1; 5 ��r>7r�a�oi2 p <br /> ADDRESS: �p� yv9r�� y�� CITY/STATEIZIP: ;?�Q <br /> PHONE (1): 2 I D (,'7 ZSt'CJ PHONE(2): FACSIMILE: <br /> TEIVTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 businoSS days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RECUEA-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUST ESS DAYS <br /> SIGNATURE OF APPLICANT �p�1�� _ DATE 3 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City — ;0 Unit 1 <br /> 1• 2341 � �' foul Y1'FI% <br /> 2. l I �,// <br /> L�Unit2 <br /> 3. kbp zul) A ktnyc <br /> 4. 15)0e±ft _. Unit �• <br /> 5. ' <br /> KlL (&oe%,l label <br /> unity <br /> 7• <br /> 8 Vft� a 23 ,3 <br /> 9 Unit s <br /> La Unit e <br /> Specific Data Range of Information Requested: From All 1777 to <br /> ENVIRONME TAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY SOLID WASTE FACILITYiVEHICLE <br /> I(vG OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTETIRE /I <br /> I� UNDERGROUND TANK(MONITORING/REMOVAL) FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS MOTELIHOTEL PUMPER TRUCKIYARDiCHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY POOLISPA LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING I COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> ELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least ono 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 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:-Anew application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition a$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 /> ri r , �i x, t.. frr•. � 1 �: I � ^ C. 1 <br /> t. <br /> i•., R ii. .: ti :•' ur <br /> Q,R@cFd�.pfA�)ded by S�afF P,P co plate:stair Noma, <br /> EHD 49.06 mdl12 <br /> Received Time Sep. 13. 2013 4: 30AM No. 4060 <br />