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Aug. 13. 2013 4: 28PM N0. 0027 ErP�?�NUMBER <br /> ��� SAN JOAQUIN COUNTY E U M <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 13 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/-SERVICES PUBLIC RECORDS RELEASE APPLICATION nn <br /> APPLICANT: <br /> I(GI SI BUSINESS/AGENCY: +ea a r <br /> S� l <br /> ADDRESS. 1155 CITY/STATEIZIP: S a�3a1 _ems Ck qSl I?-- <br /> PHONE PHONE (2): 62-fP 298�Q��g FACSIMILE HD 31$�(p�al <br /> TE AT1VEy APPOINTMENT DATE: tfeS l9 V I�Sfi Z7 Time: 1040-." <br /> (Please allow 10 business days from date of appllc on submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE ST-$125 (C SH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE t113113 <br /> Electronic Information: [(List ap-Description: vv+ Ov` O{ V_btit ►q 4 tQ Is I a'td 5 <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city El Unit 1 <br /> MPY_7 <br /> Uh t2 <br /> efV <br /> L4 W <br /> Unit3 <br /> t <br /> kUnit 4 <br /> rt-c2 ; <br /> 7. <br /> s- Units <br /> 8. r_ <br /> jjUs= /s// . <br /> 9. C(, r c�)e Pru U� Ip-unit 6 <br /> 10. <br /> Specific Date Range of Information Requested' From <br /> 95 4 A- lqxS to C 14r-e n ft <br /> ENVIRONMENTAL HEALTH DPARTME T FILES <br /> dUNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY OLID WASTE FACILITYNEHICLE � <br /> L�OTHER CLEANUP SITE(NON-LOP) <br /> [I HOUSING ABATEMENT RWASTETIRF <br /> 3' NDLRGROUND TANK(MONITORINGIREMOVAL) 0 FOOD FACILITY ❑ IRT <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL LJ VVASTEWATER TREATMENT PLANT <br /> r <br /> ARDOUSWASTEIHAZARDOUSMATERIALS ❑MOTELIHOTEL EA1 UMPERTRUGKIYARDICHEMICALTOILETS <br /> IERED PERMITTED FACILITY ❑POOLISPA ULAND USEAPPLLCATION SITES <br /> ❑TATTOOIBODY PIERCING Q COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PFRMIT RECORDS ARE AVAILAULL FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0017M(EXCLUDING HOLIDAYS) <br /> 1. Llst up to ten addresses in the space above. Select the type($)of files from the list above by checking the appropriate <br /> 6ox(es). At least one file type MUST be selected. Fax to 208 464-0136 o the address IndicaUonsbecelved afters <br /> ranges will not be accepted-for additional assistance with file addresses,contact the FHD. App <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 ap Ilcant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> ko <br /> a C4, <br /> 2: - � �e <br /> R ❑'Records provided by Sfaff-PPR Complyfie. stetfi Namei 914112 <br />