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AUG-26-2013 MON 10:59 AM Moo, Twining Associates FAX NO. 5 & 268 7126 P. 02 <br /> REM)ME) <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AUG 2 8 101' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EIVIRIXIMENTALHEAMphone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMITISEFNICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_ G,; /►'1win, �eZ BUSINESS/AGENCY: Pi <br /> ADDRESS: 2-527 Fr<s r,o S CITY/STATE/ZIP: l eec,�o , CA 43 72 1 <br /> PHONE(1): (S;q) 2a F3— 76 z1 PHONE(2): 76— 93y,, FACSIMILE:_a5S10 Zc&'— 7/ 26 <br /> TENTAT/VE*APPOINTMENTDATE:9fs /i3 Time: /D:3o <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �C�' DATE SA3 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> Unit 1 <br /> 2. 2 cmc I.4.4_cl <br /> 2G.14 <br /> l �L <br /> GG 14 T3,oa I,- iJw✓� Svc ^� �� <br /> A 1-�-v rte„` S /.�. e to:•..e- � <br /> yq <br /> 4_0Ct,4-c-, Unit 3 <br /> 5. ( /V; roc.-. .gvenL-C Ftcl�at+"1 1U( LLrji'td �OL(i�lo- <br /> Z (✓-e5er rt+�f-- S.44,c.,4ct� <br /> � <br /> ^•1 1 a � <br /> e Unit 4 "t <br /> 7 Gr Q - A/r7GC,✓j <br /> t VU,Id 'lc Unit 5 <br /> 9. <br /> 10. <br /> nit s <br /> Specific Date Range of Information Requested: From O-(( K.��;(a.L I •e to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E3 MEDICAL WASTE FACILITY 2/SOLID WASTE FACILITYNEHICL / <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE "7 /�5 �yf /_ �/"1 <br /> NDERGROUND TANK(MONITORING/REMOVAL, ❑FOOD FACILITY ❑DAIRY C/-7-0 <br /> ABOVEGROUND TANK <;>\- ❑CHICKEN RANCH/DOG KENNEL' ❑WASTEWATER TREATMENT PLANT - <br /> i�Q HAZARDOUS WASTE/HAZARDOUS MATERIALS` ❑MOTEL/HOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOL/SPA [LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> 1- 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 /> __.... <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. *" OXE.p ARBA-° Np r#SE O; <br /> - - <br /> EHO 4U-U6 <br /> .......... <br /> ......... .. ..,.__...i. _..... ... .._.. .�'.... ..is ".-• <br /> .. ._..._.. ......._ ..... .................:t.._........_._...—._.... .... <br /> ........ ........ ....p..:...:..........�.d.f�: ...Staff...:PP.R.,Co :...:. _ <br /> 9/4/12 <br /> Received Time Aug. 26. 2013 10:50AM No. 3921 <br />