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Sep, 4. 2408 3: 18PM No. 0169 P. 2/3 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd 3JOA7oww <br /> (PUBLIC RECORDS RELEASE APPLICATION <br /> r <br /> APPLICANT; 0 �I.LGIL BUSWESSIAGENCY; Aa1�oad 1 nny (�nnft y <br /> ADDRESS: 7 zo F. ri CltyrStal:00p -�r_I , CA ct3305 <br /> PHONE(1); Low r-a6 – qte PHONE(2): FACSIMILE: G1/1- kgs–Ile)l. '— <br /> TENTATIVE*APPOINTMENT DATE: SGfcrnbG 11_, „2 r> Ttme: f <br /> (Please allow 10 business days from date of application 6ubmittat-'Tentathre only-must bo confirmed) <br /> IkCHECK BOX TO EXPEDITE RE UEST.$1103 F C SH OR CK ONLY)-REQUEST PROCESSED IN 3 UUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE �{ D <br /> Electronic Information: ❑ Lis Map-Description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name Cit <br /> E] Unif 1 <br /> o "i 9 r1 —�Clo <br /> 2. i CR�ib �15tZ <br /> z <br /> 4. nit 31 <br /> 5. 0 [ � <br /> Unit4 <br /> 7. <br /> B © Unit 6 , <br /> TQ ❑ Unit <br /> Specific Date Range of Informatlan Requested:From to <br /> ENVIRONMENTAL HFALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ©HOUSING ABATEMENT l7 SOLID WASTE FACILITYIVEHICLE <br /> t4OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY 11 WASTr;11RE <br /> -UNDERGROUND TANK(MONITOAINOIRBMOVAL) ❑Doo KENNEL 13 DAIRY <br /> %HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY t7 MOTELIHOTEL PUMPER TRUCKIYARDICHEM TOILETS <br /> 13 TATT001800Y PIERCING 0 POOLISPA LANo USE APPLICATION SITES <br /> f <br />