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OCT-16-2013 WED 09:59 Ali Moc, Twining Associates FAX NO. 5F ?68 7126 .3 <br /> RECENED SAN JOAQUIN_COUNTY EHD LOG NUMBER <br /> OCT 16 2013ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 , . <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: wvwd.sjgov.org/ehd ' <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: �1.:4; /���i e2. BUSINESS/AGENCY: <br /> ADDRESS: 25 27 FI CL—0 S A,,, CITY/STATE/ZIP: �r�r��, C /A �3 7Z 1 <br /> PHONE (1): (5_c4) PHONE(2): X3-379) 476-q-cl-I FACSIMILE: Or3_0 e48- 71 26 <br /> TENTATIVE`APPOINTMENT DATE: 1012 -r'/ i3 Time: 6n 'ad <br /> (Please allow 10-business days from date of applicat oT n submitta—'fentatrve on 77m—ust be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE /23�/s-/is <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name, City <br /> ❑Unit 1 <br /> 1. (x(32 A,. E( t;.,�1 SZ� ' r S-Focc�k� <br /> 2. z 7o ( Ai• u its dam, >Z(F G(6j E3'-Un It z 1, <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. _E rLIn It 4 <br /> 8. <br /> 9. ❑ Unit 5 <br /> 10. <br /> [hits <br /> Specific Date,Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY �/ <br /> OTHER CLEANUP SITE(NON-LOP) LTJ SOLID WASTE FACILITYIVEHICLE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL ❑HOUSING ABATEMENT WASTE TIRE <br /> ABOVEGROUND TANK ) Ll FACILITY ❑DAIRY <br /> El HAZARDOUS WASTE/HAZARDOUS MATERIALS CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HTIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑ OLISPA GLAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING [�COOMPLAINTIRESPONSE RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the fist 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 ex ense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. "MBfj_ <br /> :�.:-.._.__._._ •�::'3�,i=re: ....-sn.;;-;_._.:_.._-_>.�L_;.W.._=�.�:--.—:�...:�•;:;,r-.._�:::-::;:::.:.�;'�i' A�_-__:- <br /> ....L . .........�...i::^.....�.....•..:.:'.. - ....«. <br /> .. 51:3^'•«-{::N4I•'•^.SL•:':::`...«._.A r.:S::R:.i-.. 4�•:��......:h•:"...v:!::.=':._^:::::.::•::::.. ..T.i.....�::�:.� ... <br /> ...«.�5...-.r w..3 �iiF�•-^'•---..:•.1�-')^.'�'�.1' .. �.L� L.....1.:._:Y.Y`...���..'3.Y:«..__....;L.:3:'�:1:::=:�._�.::'_^.::::::::i:.'_�:•.•:. _ <br /> ,.. i"Pr`i. _Cll:r.._-� • w".�'.:::: ^.�j:.^.«i« .�.h: _•:::T':n•'-:•:r^.••:h ri i�:fl.''i::i:_:'S: <br /> ..._-_._.__"_" =�=.:::.'�:i:i:_�••,ii: �1. ..... ..._......._...tkh..r....-...:—..».....x:_:�tai�•:'r.:s�.- _ - <br /> ..__..Y_ .._.-. ._...._ '.. —._4;.....r.'.`--• ; —'?::3•^.ii�....... R:::��,� ?3'-�?�L _iiF{::::::::.:�:.v _:�c".:.•.:c'_:s�^i�:i:c�..:� <br /> ..�;.;.:"_"`:•r .L.,_». 5»..ar_:r.:e i�.?u .:.-:;:-:rr•• __r'"s;�.e.c ... ^i_"�'mirr.��:.._..._?.'L.....z.__�...� <br /> .._....... <br /> ......_ _ ,rax• _.._:. .. -•asxs::�•• ....... ..�......... ..�: -— :..-..:_.._.:.....,`�_:,,,.:-..T.�T <br /> —.. ...Src, a.•—. _..,ate-. .S�sl'x:—•�=......;__..c;,..r.•F-M—•__..i:-•c:•...v::.::.::�::.:::c�-i i;w_:n•:>.�.:._,;. <br /> ''—__-• ,wry,'.• .__ "' ....�_ _•_. —_ _ <br /> - .. .. -...... . _. .... ._ u�>;.«.GT� _..-......^:sir.:t::'.�::._:..i�`..a-... L.�'•�3.�:�`�fY::::::'^.'�'.Y:.. :::1:�.::-1i�3::�::: <br /> ._.i�»�-T_.� .- _ .t, y ...SII��,•-�-7'ARw:u... .��..:.: _ .. ^y:... .:::::-.j:�i. _ <br /> :,•_ — .._....._. y��y.�v ... .�Sr i, � iw,IEaaCi•'yv.t�:r.:� :.��'^rJ:ex:.^.':1�"'�=`r:i::c�::;=���:1_,��Ts�:;'==-::.� .........._ <br /> ::�-•..L:..:.^.:c::::x�i::::_. <br /> Received Time Oct. 16, 2013 9: 51AM NO. 4318 86112 <br />