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■ 1�age 1 of 1 20'14-OS-ZO 04:4S:01 (GMT) -18884443080 Fro FT: P0Wo1 WoiOmZyt'1 <br /> 1 ■ :. .., . :P,.*OLO NU BER <br /> i■ , - SAN.JOAQUIN COUNTY` <br /> ■ !` <br /> i■ ` ENVIRO.NM.ENTAI�'�-1.EALTH. DEPARTMENT <br /> MAY'��0 2014. 986 East Hazelton Avenue, Stockton, CA 9 205-6232 <br /> Telepha.ne:":(ZQ9).46.8-3420.E ax::-(209).464-0:1.38:Web:-uiwjni:sjgov:o[g/.eh ,gip <br /> ENVIRONMENTAL HEALTH .. : ® : <br /> PERMfTJsERVIGTwB PUB.LI aEC .�DS. REL� E.QF�.QLICATION � <br /> �P.P>I CANT;: �ueX. V 4:lo g`% :ac c av Q �x�t�l_ la a e <br /> :AR4.RES,S: aQt : a111111C1 1 '.C(1Y'/S.TATEIZI..P,- Gx uto- -CA.g-5-; .33. <br /> -PHONE 9): : �9�1::(�'-L1.4 PHONE:(2j: ;FACS MILE': <br /> �.�. •� .... ....�....... 88-44.4-3:: ... <br /> Please.allow 10 business days.from date of application submittal for the.reco.rds to be avallab)e.- �' <br /> Staff will.contact'you to.a.rrang ...an appointment dati.-.and time:to review,the r quested records, '• ' ' <br /> CHECK:I3Q.KTQ. 7CFEDl7E:RECUEST-$125:FEE:.GQSH.ORr-N GKOINLI�1. REQUEST'RR E�SEQ1N,3BLSINESS.DgYS ;C!•; <br /> S.(GNATU.RE".QF:AR.RLtDANT <br /> a:� _ •' DATE ' r�•`0!-.:��- '. <br /> E e:ctm*nia"lnform4tio.n... [] List E Map—Description: ' <br /> FILE.ADDIEBS ....... :. .. • pHD:uSE.QNLY': ..• . <br /> zt�eef Street.Name- .'City. p Unit 1' <br /> �• -20.50 App" <br /> ::I,.atbro <br /> 2.. " 211:2 <br /> ....... ... . <br /> ; , . Lo.ullse:Ave ' <br /> U... 1. nA4 <br /> a. . <br /> :alt:.to.d sous '.= Y•cad: ir >v'::clo.... ;>a`t f>l : arc....:. ` <br /> . .... ..:. .. . <br /> - <br /> ..�I'h�ax>EC .tau!' <br /> El Unit <br /> SpesiffcDate,Rangeofinformht[an:Requested: From" t4:: 77 <br /> :.: •• N. R L;HE H:DEPA..R.TME.. ., <br /> VJ• ONMEKTA ALT NT FILES_ <br /> • ' VNDERGROUND TANK.(U$.).gLEANUi?SITE(I�OR) a)VIIEDIC 4l.VIIASTE FACILITY(., �$.OLIDIIUASTE Fa;��LITYIUEHiCLE <br /> OTHER CeLEAN.JJp SITE(NDN-LOP) Q'HO.USlNG ABATEMENT Q WASTE TIRE ••-•••., <br /> UNRERGROUND TANK(MQNITQRIN�/REMOVAL) Q FoQD FACIL[fY :.�DAIRY " <br /> �A8PVE%GRQUN.D TANic Q:CHICKEN RaNcH/{30G. ENNEL �illA$TEwAiER.TR ATMENT P..LANf <br /> ®"HAZARDO.US;WA$T:EIHA7�IRD.Ol1S.hIATERIALS .,,.;• M9T.EL/NRTEL• �PUMP,ER.YRU.Ci((YARpICHEjNICAL TOILETS; <br /> M TIERED P'ERMItT-0 FACILITX: '- O:P.000sPA " LAND,U$E.AP.p4eArION SITES. <br /> TA TTOOIBODYP.IERC:ING GOMPLAINT�RESRON$.E RECORDS` OTHER'{PLEASE SPECIPfI. <br /> : •XW(=u,.AND SEPTIC:RERMIT:RECORDS'i4RE.AvaLABLE FOR:REYJEW:_MONDAY-FRLDAX:8:00AM-5 0,OPM(E'gLUDING.HOLIDAYS.� <br /> `1. List up to ten addresses.in the space above_ Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least-one file type MUST bese.lected."Fax to(209)464-0138 or malFto the-address,Indicated above. :Address : <br /> ranges:will'.liotbe.:accepted„App.lications.received after.3:00'pm.w.i be.proce$s.ed'the'negtbusinass.`.ay,' <br /> .2: .For-assistance.in identifying the nature.and.content of.EHD records.,.pl''ease contact EHD.at the number noted above. <br /> .1! The will notify the appiicant.if:any EHD files eX($t An-appointment#or'review will be confirmed approximately ten(10) <br /> :days after receipt of application: The fries will be held fora maxirrium of five:b.usirress,d4ys far rexiew: Appointments <br /> ”..sho.uld be scheduled accordingly. <br /> 4: Any file not-returned in the same condition as released:witt:be reorganized by EHD staff at the ex.pense;of the applicant, <br /> -Future fife.reviews.by the.same applicant-.may require a.$.928..deposit'prior:to review....*.'°*.BOXED AREA.-EHD U.S.E:ONLY**!� ` <br /> ............................................................................. <br /> .0 Records provided"by Staff-PPR.Compfete.Staff'.Name; """••••••'••• <br /> Received TimCMay, 19, 2014 9:44PM No. 6098 <br /> ._ --- <br />