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rom:GEO Syntee ConsulteFax:(916) <br /> r5 5 96 2094640138grcfax.con Fax: +12004540133 a 2 of_ 8119- <br /> 11 3 10:05 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AUG 12 2013 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EW"MENTALHffpjfhone: (209) 468-3420 Fax: (209)464-0138 Web: www,sjgov.orglehd ` <br /> PERMITlSEHIfiCES <br /> R <br /> PUBLIC RECORDS RELEASE APPLICATION r <br /> APPLICANT:<-Ir..„} ✓St BUSINESS/AGENCY: LayNtPO p S �}� <br /> ADDRESS: .3o i3 ��.�i Q �o�( I S ->r �G <br /> e ( ' CITY/STATEJZIP <br /> PHONE (1). 9J(P....L�57 PHO E(Z) jlLl SZf�( J Z7 T FACSIMILE. 6l V 2 <br /> TENTATIVE`APRti) <br /> G!i MENT RATS :.. I I r _ na 4tft' T)h <br /> IPleSee odour 10:business fmm date.oi cadan SUbMitIM--roma a n .. ........ <br /> dsYs t " o y-moat tre'eon sa) <br /> I� CHECK BOX TO EXPEDITE REQUEST- 17,5 (CASH OR_CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> _. DATE =t:2 .. <br /> Electronic Information: ❑ List❑Map-Description: <br /> --- ILE ADDtiESS EHD U5 oluLY <br /> -- <br /> street# T Street Name <br /> city <br /> r-4 <br /> -_ _ Unit 1 <br /> i ,._ CT' �ry, ,L ..-_, <br /> j3 unit 2 <br /> 4. <br /> L4 leulit3 i"1 Unit 4 <br /> ` --- ❑Unit 6 <br /> Specific Date Range of Information Requested: From _ <br /> to _ <br /> (f ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> rrEUNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY [Kf SOLID WASTE FACILiTYIVEHICLE <br /> �r- <br /> ,9I�0THER CLEANUP SITE(NON-LOP) H HOUSING ABATEMENT ❑WASTE TIRE <br /> CR UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ©WASTEWATER TREATMENT PLANT <br /> HAuADQUIS;WASTFJHAZARDOUSMATERIALS ❑MOTEUHOTEL <br /> REREITP'OiinTeo FACILITY ❑LAND <br /> TRUCKICA71ON SITES TOILETS <br /> ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINT/RESPONSE RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC.PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM_(EX_CLUDING 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 f2091 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 rifle not retumed in the same condition as released will be reorganized by EHD staff at the expense of the applicant, <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. �„mf6dxED AREA$EHD15SErffLY <br /> � FSRI <br /> .k,, n <br /> r�sv <br /> �R9F07d5"RtxtlVld�' <br /> 5G 12' <br /> Received Time Aug, 12. 2013 10:05AM No, 3852 <br />