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R AUG, 1.1. 2008 9, 05AMCr ers InfernaflonaI b 0 N0. 8824 P. 2 <br /> Mrff117 ED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG i; 12008 600 East Main Street, Stockton, GA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgpv.or hd <br /> ENVIRONMENT HEALT}1 <br /> w316 <br /> p RMIJ =S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; <br /> BUSINESS/AGENCY: ( Cl (—c C� <br /> ADDRESS., z 9 1�1L �� Cnf: S I <br /> - � CltylState2lp �, S <br /> PHONE(1): l�-2. 2-cz PHONE(2); °I�t{Z ­5 t l <br /> FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE; TSPS <br /> (Please allow 10 business Gays from date of application submittal.'Tentativo only must be confirmed) <br /> 13 <br /> CHECK BOX TO EXPEDITE PEST-$1 5 PETE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -�.�--- DATE <br /> Electronic Information; [Nist Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Nam a city <br /> • l 4 4 3 lUt�t�` i7 ,{UerK z7hG�.l �� ❑ Unit 1 <br /> 3. (� Unit 2 <br /> 3. <br /> 4, s <br /> r <br /> A.. ti <br /> s Unit 4 <br /> 7. <br /> 8. D U it s <br /> 110. t 6 <br /> Wo <br /> Specific Date Range of Information Requested;From LUf 4cr,,j 1``�TM­00- aF- � �e_L' t Do. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES dT `�`= c777: <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT EI SOLID WAnTr PAM iTyA/Fuir,r <br /> rI OTHER CLEANUP SITE(NON-LOP) <br /> aZ UNDERGROUND TANK(MQNITORINGIREMOVALj 6090 <br /> HAZARDOUS WASTE GENERATOR 1 L�p ,r�aar✓ f� <br /> ❑TIERED PERMITTED FACILITY 6)q0f 0q i16- 2 V Y� ' &1946 11- ri 1 W <br /> E�TATTOO/BODY PIERCING u' Cr/ !� L /r_� „yam..) � �!/) l� i�/ <br /> Q MEDICAL WASTE FACILITY ��1"1 �l�( Q/�— /ZOO �^`�dl " at� 4 <br /> WELL AND SEPTIC PERMIT RECORD�„gyp <br /> 1. List up to tan addresses in the space -.. •,v,,l,l vl ides Trom the list above by checking the appropriate <br /> box(es). At least one rile type rm—,range --•- •- -<_ -.-- <br /> 3,00 pm <br /> will l be pr accepted-fc PW <br /> 3:00 m will be recessed the r <br /> 2. The EHD will notify the applicar <br /> days after receipt of appllcatlon <br /> should be scheduled according <br /> 3. A fife that is actively being wort <br /> submitted when the file Is avalh V cq/e4-a A. M151" 1 <br /> 4. Any file not returned in the sarn /LLQ ! <br /> Future file reviews by the same N(�zovdoo 1- 0 7o4 C <br /> ay2-y✓�e, <br /> VM df G - 40•g0v <br />