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Sep. 4. 2008 3: 18PM No. 0169 P. 2/3 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 mast Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd 3iq9?000 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jon &&k BUSINEsaw3r:NCY: Ad✓anCcd I:nV1YDnnu.njpt Co,Ncp <br /> ADDRESS: . /t CitylStatelzip aj305 <br /> PHONE(1). PHONE(2): FACSIMILE: �(�(-3Q5~tlolL• <br /> TENTATIVE*APPOINTMENT DATE: S61O-I'g-m6GY� It 1 20px The: I 1 r <br /> (Please allow 14 business days from date of application eubmittai-•Tan1a0va only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE UEST-$103 F C SH OR CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 'SIGNATURE OFAPPLICANT DATE ���/2008 <br /> Electronic Informatlon; ❑ Lis Map—Descrlptlon; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name Cit 911P ` <br /> E] Unit 1 <br /> o N Ei 9 h —�Uo <br /> 2. g'7 Ia �3� 6. <br /> s. o °� n <br /> 4. nit 3 <br /> 5. 1000 qi <br /> t3. unit 4 <br /> 7. <br /> 8 0 Unit 6 <br /> 9, <br /> 10 ❑ UnH6 <br /> Specific Date Range of Information Requeated: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICLE <br /> 6•OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIRE <br /> UNDERGROUND TANK(MONITOAIN(3IREMOvAL) 0 DOG KENNEL d DAIRY <br /> %HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH d WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELIHOTEL C]PUMPER TRUCK/YARDICHEMTOILETS <br /> TATTOOIBQI)Y PIERCING 0 POOLISPa ❑LANE)USE APPLICATION SITES <br />