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02/17/2014 15:04 FAX 559 442 5081 KL.EINFELDER WiUU1/UU1 <br /> DATE RECEIVED / � EHD LOG NUMBER <br /> SAN JOAQUIN COUNTi(FECL� <br /> ENVIRONMENTAL E LTHDEPARTMENT +. <br /> °� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> VEB Telephone: (209)468-3420 Fax: (209)464-0138Web: www.sjgov.org/ehd ,q 6 <br /> I �XO, PUBLIC RECORDS RELEASEL I TI <br /> A T: e BUSINESS/AGENCY: <br /> ADDRESS: �j / /y+. G-G�-'f P,�( �?'e. t O 1. CITY/STAT P: <br /> PHONE(1): 5151- 7 2jj:_5 9 PHONE(2): S�� L,7—?g*2. FACSIMILE:<C, 4f Y2. -960/ <br /> TENTATIVE`APPOINTMENT DATE: t � 'r e;� Time: ,� a ?/i' <br /> (Please allow 10 business days from date of applecon submittal-'TerttaSve only-must be confirmed) <br /> HECK BOX TO EXPEDITE REQUEST $125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS e' <br /> SIG: ATURE OF APPLICANT / ,�., i� !A '✓k'' DATE �t,`°Afo <br /> 1 t <br /> Electronic Information: ❑List❑ hAap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City Unit 1 <br /> ^� 2. ` 1 .ICCGS ❑Unit 2 <br /> 3. �oq 41a+C V .a s i ti J j r <br /> 4. is `5fi w M �S ,vcccsp ung nit 3 <br /> ®5. , h Q J\f. 47 S i�1C9CtJP <br /> 6. �5 � G1Q ® P� />d► Ls � cc`�(>Ung# 3 nit4 <br /> "1 <br /> �, bT. a 1 uJ n�o�6'p unit s <br /> 9. � t c t ► iii 3 01 1 o� <br /> t ^ 7 /L (� <br /> 10. �t rc�fae- I use,sz !9 <br /> � -`8)oA�k� CL` Unit B <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ` �^ i S <br /> ;> MNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICAL WASTE FACILITY ❑SOLID WASTE FACtLiiYNEHICLE (G, t I I— <br /> ER CLEANUP SiTE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE CD <br /> TANK(MONiTORING/REMOvAL) Q FODD FACILITY ❑DAIRY LA14-5 fVIJDERGROUND <br /> VEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT 2- M <br /> RDOUS WASTEIHAZARDOUs MATERIALS ❑MOTELIHOTEL ❑PUMPER TROCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOIJSPA ❑LAND USE APPLICATION SITES <br /> tl� ❑TATToo/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> i 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 END 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 a.plicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review, __.•1ss i.._ _ <br /> 1, 61 <br /> lJL <br /> VIA <br /> JL <br /> ' <br /> .. .S:'• <br /> "I AiM <br /> n <br /> :.:: .. ... p i <br /> Q <br /> fr,� `��3� w' i JA141 d�c! Lt 0-3 iltr rt��U��� ��a� Fels �fG�C <br />