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I� P®9e � 01'1 2019-'1'1-"12 02.46.92( T) 'IHHH4 6 From. POWCI WoloaiYn <br /> pryl 0764 <br /> Ij <br /> 1 <br /> ED'. . <br /> MD LOG:NUM BER <br /> ■ �—° EV SAN .IOAQUIN. COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■ 10 <br /> 813 18.68 East Hazelton Avenue, Stockton, CA.95.2Q5-52$Z <br /> Telepho171e:.(2Q9j A6$-3420;Fax:;.(208):464.-0138rWe.h: LNvtw.'sjgw org/ehd <br /> It PE�IMIT NTAL.CHES`n <br /> PUBUC. RECORDS RELEASE APPLICATION P <br /> En it <br /> CC pp <br /> APPLICANT: :PdVYOA�OSZIl 9SI ,ESSIAEt1CY: <br /> ARDRESS:. . U Cajl]b Q AVelltle < -g9�CL�`��$.`�:�.` <br /> PHQNE(1) <br /> 916,4441,165.4, PHONE(2) F.gC$IMILE: MR-444=309 <br /> "• : . TElVTAT-IVE"APPO_INTMENT DAIS: II-' �� (�,� TUne: <br /> (Please allow 10 businessd .ays from d=�-r• rpricatioh'submittal "Tentative only-must be confirmed) <br /> : . .. .. <br /> Gt1EEK:$OXTO-EXREDIT,E;'+� ''. >� :�,,,. � �" aECK QN47Z-;RE.QUEST j'ROCESS <br /> ED.�JN 3 BUSIfJESS DAY$ \ <br /> SIGNATURE QFAPPI�ICADATE. <br /> 'Electroniclnfo'rmatioh' List❑Map—Dese'ription: <br /> FILE;ADD.RESS <br /> EHD.:Q�Sr10NLY <br /> ..:�elty. ..+.. ... " '0 Unik�i <br /> - 20 West Charter IVa : Sirac ton. <br /> Dr ` : axon L .. .er ..: .I Jr- B vc ,+ <br /> ' <br /> .... - <br /> 3 et zg <br /> 4.. 15$.7, <br /> .. 7.75 ...... ., <br /> s .., <br /> L .. .. _ Unit:4 ... <br /> ' <br /> St <br /> + <br /> S. .Ilgif5 <br /> 10, + <br /> ' : �.SpeFlfc:Rate.Range of'.Informetio0_Reguested: From _ <br /> E.N1lIRDNMENTAL HEALTH•DEPART ENT FI,LE$. o <br /> : ' ..®UNDERgR9 NDTANK:(UST)CLEANUP SITE(LOP). ::'' ❑, <br /> MEDICALWpST);.FACILIT.Y SO4ID,YIIASTEFACIL,rfv(VEHICLE <br /> '.®.!)7HERCLEANU.P$.ITE WASTE <br /> . :�UNPERGS.OGNRTANKi(MONITORING(REN.OVAL) Q:F,OQD FAQILffY '.'ENT„ :�,1)AULYTIR .... <br /> ®ABOVEGR.OUNRT,AMK []CHICKENIiIf(CHIDOG;KENNEL. ❑WQ$TE)dgiERTREAT.MENTRLAM <br /> E]HAZp.RD.0:U,3 WAST.E.I.I.IAZARD,OUS.MQTEltl Lp _ ` ❑MOTEIIHATi=I , L�,PUMPER TRUCI.CIXARDICHEMICAL.TRILEIS. ,+ <br /> ®'CIERED PERMITTEI),FAGILRY O l�AOJS' )]LAHD USE A7PLICATIOJ{SITES; <br /> , <br /> TATTOOBODYPIERQJNG _ ,®C.OMPLAINTIR.gSpONSE RECO RDS OTHER'.(PLEASESPECIfY <br /> ❑ <br /> DS'ARE.AUAILAB.LE FORREYlE1K: MONDAY-FRIDAY AM 5'OQPM(EXCLUDING HOLIgAYS) <br /> . .®1NELL AND SEPTIC:PERMIT ,EC.QR„ - <br /> 1,.. Listuo to ten addresses in the space above. Select the.type(s)of files from the list above by checking the app ropriate <br /> box(es), At fila typeJltLVST be'selected.:Fax to(2091464-0138 or man to the address indicated above. Address. . <br /> ... ranges.wiilnotbeaccepted-will <br /> nsreceivede <br /> 3:OO.pmwillbe.processedthe.nextbusiness.day. - lu fte ' <br /> 2. The.EHD will notify'ths applicantif any EHD files exist An appointment for reviewusi.11l be confirmed approximately ten(1D)... <br /> days after receipt:of.application. The.files will be hel.d.foranaximu{Rnf five b.ustneSs_days for.:review..Appointments <br /> should.be:scheduled accordingly. <br /> . c3. A fife that is activaly:being,worked on by EHD staff may notbeimmedlate_ly available for review. A new appltoatton may . <br /> submitted when the:file.isavailable,. <br /> .4( Any file.notreturped.in.the same condition as released wilf.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_ '�*"BO-yCEIJ`AREA-EHD USE ONLY <br /> f .x <br /> ,ds proulded;6y'�S�a PPR Complete3surr rvame <br /> ...., EFlD Ga•A& <br /> Rereived Time Nov. 11, 2013 6:47PM No. 4491 <br />