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11/19/2012 14:45 9166486688 ADR PAGE 01/02 <br /> 9 <br /> ► <br /> GATE t�ECEiVEb iEHD LOO NUMBER <br /> RE <br /> SAN JOAQUIi� COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT u , <br /> NOV 2012 3868 East Hazelton Avenue, Stockton,CA 9205-6232 =r j <br /> Telephone:(208)468-8420 Fax: (209)464-0138 Web:www.ajgov.org/ehd <br /> . C <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE,APPLICATION r7 0 <br /> APPLICANT: "'Det'w1.c. BUSINESS/AGENCY: A40 0rL.. ? <br /> ADDRESS: LWS 'l T-- *Z02— CITY/STATE/ZIP: <br /> PHONE(I)-. i� �i)� ��jL(a9 PHON (2):,4)6-1-16 —3L 13 FACSIMILE: 2 Ib —��F���139 <br /> TENTATIVE*APPOINTMENT DATE: J1 2,'7 1-2-- Time: � <br /> (Please allow 10 business days fro"adafb of OppllcaUan submittal,"Tentative only-m,uat be confirmed) <br /> CHECK BOX TO EXPEDITE REEST-$125 FE (CASH OR CHECK ONLY),REQUEST PROCESSED IN 3IUSINkS DAYS <br /> SIG ATURE OF APPLICANT DATE it 12, <br /> Electronic information: []List[]Map—Description: <br /> Pl).E ADDRESS EHD USE ONLY <br /> $treat# Street Name Clfy , Q Unlf 1 <br /> FC)L.77, <br /> (v� L1 1zit �Pl ove) unit <br /> 4. 12-1 (ti �� �'El Unlf 3 1 <br /> Vii) Unit4 <br /> Z.� QUnits <br /> Z, fAynit 6 <br /> Speolfla Date Range of Informallon R¢qu¢sted: From ® to <br /> ENVIRONMENTAL HEAt,TH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SiTE(LOP) ®HOUSING ABATEMENT JZ SOLID WASTE FACtLi 1YENtC E <br /> 1OTHER CLEANUP SITE(NON•)_.OP) ElFooD FACILITY WASTE TIRE �(�_j l w�f� 3 <br /> UNDERGROUND TANK(MONFTORiNOIREMGVAL) 'Q Doo KENNEL DAIRY j fA i j lI-zo-l Z <br /> HAzAsDousWAsTP GENERATOtt Q CHICKkN R CH {]WASIPWATERTREATmENT LANT <br /> ®TIERED PERMITTEDFACILITY ❑MOTEUHOwL ❑PUMPER RucKIYARD/CHEhticALTOILETS <br /> TATTOOIBODY PIERCING ❑POOLISPA ❑LAND Usi:APPLIcATIoN Sires <br /> t4 MEOiCAL WASTE FAOILiTY 5d COMPLAINT RMORDS El OTHER(f LEASE SPECIFY) <br /> WC-Lf-AND SEPTIC PERMIT Ri3CORDs ARE AVAILABLE FOR REVIt:W: MONDAY•FRIDAY B:OD AM•5: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 checidng the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2.48)464-9136 or mall to the address tnd(oatod 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 tf 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 he <br /> submitted when the file to available. I <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 ilia reviews by the same applicant may require a$125 deposit prior to review. <br /> - <br /> e yam' <br /> ® � e f <br /> X �-5 (® t r <br /> E o e oa v <br /> Received Time Nov. 19. 2012 2:31PM No. 1664 <br />