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JHN,;tt-CVJIJ IU- 11H rMUI'I: <br />JAN 14 2015 <br />Telephon <br />ENVIRONMENTAL HEALTH <br />0 <br />APPLICANT: <br />ADDRESS: <br />tIYV r -11-I1 G c n ,1 -"^ P. 2 <br />3 <br />� <br />SAN JOAQUIN COUNTY EHD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />(209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orglehd <br />PPBLIC RECORDS RELEASE APPLICATION <br />PHONE (1): 069 612� <br />TENTATIVE'' APPOI <br />(Please allow 10 <br />CHECK BOX TO EXPED <br />SIGNAT RE OF APPLICAI <br />PHONE (2): <br />BUSINESSIAGENCY: <br />CITYISTATE/ZIP: �G�rS77J �3SY <br />FACSIMILE:9 <br />'MENT DATE: Time: <br />siness days from date of appllcation submittal - `Tentative only - must be confirmed) <br />REQUEST - $125 FEE (CA OR C CK ONLY -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />DATE <br />Electronic Information: ❑ Ost ❑ Map — Descrip on: <br />ILE ADDRESS <br />Street Name <br />EHD USE ONLY <br />❑ unit <br />Street# <br />City <br />17Y 7 <br />j — f t0"Al un Gol e�`�VnO <br />❑ Unit 2 <br />2. <br />G t <br />3. <br />5. <br />,IJ Unit 4 <br />6. <br />7. <br />-- - — <br />— <br />❑ Unit 6 <br />I3• <br />9. <br />L Unitti <br />410. <br />1 <br />OC <br />Specific Date Range of Infonnatlon squealed: From to <br />'ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANU SITE (LOP) ❑MEDICAL WASTE FACILITY E] SOLID WASTE FACILITYNEHICLE ^p� <br />❑OTHER CLEANUP SITE (NON -LOP) El HOUSING ABATEMENT El WASTE TIRE n (I <br />NDERGROUND TANK (MONITORING[ EMOVAL) ❑ FOOD FACILITY ❑ DAIRY 1 ��'1 Pile- <br />4 <br />ile- ' 3J <br />ABOVEGROUND TANK ❑ CHICKEN RANCH) DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />HAZARDOUS WASTEIHAZARDOUS MA ERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDiCHEM[CAL ToILETS <br />❑ TIERED PERMITTED FACILITY ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOiBODY PIERCING -ECMOMPLAiNTiRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT REC RDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses In th 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 (2091464-0138 or mall to the address Indicated above. Address <br />ranges will not be accepted - or additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pm will be processed th next business day. <br />2. The EHD will notify the appllc nt if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of applicati n. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accord[ gly. <br />3. A file that Is actively being w rked on by EHD staff may not be immediately available for review. A new application may be <br />submitted when the file is ava table. <br />4. Any file not returned In the sa a condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the s(a_ a applicant may require a $126 deposit/prior to review. .t'*BOXED;AREgt/, Hp U t?;Q4i�Y <br />i /, G'_ ! i I ill"! r' l /.l %1 �,, i/ ,�•. ;'� .�i .l. �. An.4_. <br />0K. <br />Received Time Jan.14. 2015 11:49AM No.1909 <br />