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14155419 8 TRC SOLUTIONS INC <br /> M03/12/2014 4:09 PM FAX EHD LOG NUMBER <br /> t <br /> 0 RWGIVIED SAN .IOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■ <br /> MARY 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.s]gov.org/ehd <br /> ffMRONMENTALHEALTH <br /> P€FIMTTISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: r f .q f n BUSINESSIAGENCY:T�njlrLrl ne +" <br /> C I Q r pp CITYISTATEIZIP: - F T ^f i`C o. CA 9y)oS <br /> ADDRESS: Iv 4— FACSIMILE: <br /> PHONE(1): PHONE (2): <br /> TENTATIVE'APPOINT ENT DATE:Ah 2f — <br /> Time: <br /> (Please allow 10 business days from dato OT aPPlleatlon sQw'l al- TenetM only must be eoaftrmed) _ <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3/)2- I4 <br /> Electronic Information: ❑ List❑ Map—Descripti <br /> FILE ADDRESS EHD USE ONLY <br /> 34wt Name CIH - ..._ Unit 1 <br /> Linn V 9 (cLG <br /> 2. SBZ (c !C 11 _ Untt2 <br /> 3. <br /> 4. Unit3_ <br /> 5. `n/ <br /> 6. .. . .- -'—J '� <br /> 0 (�I Imo, . .Elunit4 <br /> 7... <br /> 8. ._ unit S <br /> 9. <br /> 10. p urdt e <br /> Specific Deco Range of Informadon Requested: From to <br /> J ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t]� NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICALWASTEFACILRY � ❑-WW"MFAcumNairct, <br /> Ghj7THER CLEANuP SIrE(NON-LOP) ❑HOUSING ABATEMENT I1VwASTETIRE <br /> 9PNOERGROUND TANK(MONRORINGIREMOVAL) ❑FOOD FACILITY [IDAIRY <br /> BOVEOROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEINATERTREATMENT PLANT <br /> HAZARDOUS WASTFIHA7AMOUS MATERIALS ❑MOTEtIHOTEL ❑PIIYPERTRUCKIYARDICHEMc:A.LTomEm <br /> ❑TIERED PERMnTED FACILITY ❑POOIISPA ❑LAND USE APPLICATION SITES <br /> ❑TATroOBODY PIERCING ❑COMPLAINVRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(ExCLUDING HOLmAYS) <br /> I. 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 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 same 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. --eOX11 <br /> O..Records provided;by Staff`PPR,Complete.•Scaff Name: <br /> Received Time Mar. 12. 2014 5: 07PM No. 5414 --- <br />