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From:Terracon 916 858 8277 08/26/2013 11:19 #093 P.001/001 <br />■ <br />�REE CRENEDEHD <br />SAN JOAQUIN COUNTY LOG NUMBER <br />AUG 2 6 2013 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ENVIRONMENTALt1EAGT ilephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT:. dqk BUSINESS/AGENCY: <br />ADDRESS: L/b �� � �n �/' :01/ 70 CITY/STATE/ZIP:�,,c%. Corc%.a RTL7o <br />PHONE (1): PHONE (2): FACSIMILE:6S/G) Ars- b2.7 <br />TENTATIVE'APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal -'Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE <br />=Electronic Information: ❑ List ❑ Map — Description: <br />q <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Unit 1 <br />Street # <br />Street Name <br />City <br />1. <br />� 7 b� <br />2` 1 l.-•�« Lo.�.c i <br />��v <br />Al r,"�J 7f .��,�Oi�7 <br />e �. 1 Unite <br />i ( �l <br />Aj�)U/i i c� _3, Po LU It - <br />p 01I '5 LQ <br />2. <br />3. <br />37D2, <br />7 2 <br />�4.».+ter LcrNr <br />��oa <br />4. <br />4. <br />% �� <br />1rr.a .�. �- Larc <br />oFaf! /✓ <br />5. <br />3 m <br />�_, 9..+3+e �- t Al <br />-lac p <br />"n, <br />Nod NJ aTY <br />—t A j (f)/�7;`Unit4 <br />Al AlO cC�YElun; <br />6 <br />7. <br />34t15 <br />� <br />❑ Unit 6 <br />10. <br />c�) <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILI NEHIC <br />OTHER CLEANUP SITE (NON -LOP) F1 HOUSING ABATEMENT ❑ WASTE TIRE 1'I gjee %c j r - <br />UNDERGROUND TANK (TVIONITORlNGIREMOVAL)V ❑ FOOD FACILITY ❑ DAIRY 1� —11- <br />V <br />ABOVEGROUND TANK , ❑ CHICKEN RANCH/ DOG KENNEL [:]WASTEWATER TREATMENT PLANT <br />HAZARDOUS WASTE/HAZARDOUS MATERIALS C;A ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ <br />TATTOO/BODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-S:OOPM (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 EHD 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 applicant. <br />Future file reviews by the same applicant may require a $125 deposit prior to review,***BOXED AREA - EHD USE ONLY—* <br />�1f�tVit�Cs►t'lltl►L���i(/lA ` ► <br />q <br />lawif IMF), <br />EHD 48 -OB <br />Received Time Aug.26, 2013 11:13AM No.3923 <br />O� n+-- � °fes- `-orn��, ►n-t� : �3- <br />11 <br />