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INI 08/08/2014 13: 09 80523993.-- 1:
<br />m. I. IN.
<br />SIERRA DELTA CO LT
<br />SAN JOAQUIN COUNTY DATREC EIVED
<br />PAGE 01/01
<br />END LOG NUMBER
<br />130
<br />
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />AUG 0 8 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ehd
<br />ENVIRONMENTAL HEALTH
<br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION
<br />APPLICANT: I/als\&
<br />ADDRESS: 6.1 -s- ei(14.,&-d1.4_, Avt.,4-p-,
<br />PHONE (1): Sza ..-3(3 - - PHONE (2): FACSIMILE: F5-0 S-- g3 1. 3 TA
<br />TENTATIVE' APPOINTMENT DATE: Time:
<br />(Please allow 10 business days from date of application submittal- 'Tentative only - must ba confirmed)
<br />OR - ECK ?RV) - REQUEST PROCESSED IN 3 BUSINESS DAYS
<br />LbUlAsc ti ZVI"... DATE
<br />CHECK BOX TO EXPEDITE REQUEST - 512S FE (C
<br />SIGNATURE OF APPLICANT
<br />BUSINESS/AGENCY: IAMN 04 CAPA- .te`-'1/4t
<br />CITY/STATE/ZIP: Cia.&t ISIMP
<br />..•••=01.
<br />Fs—tr:onlc Information: 0 List D Map - Deac
<br />FILE ADDRESS
<br />DID USE ONLY
<br />Street Street Name
<br />4-14 tt.5
<br />city Unit 1
<br />I va c_ #1?-(
<br />2.,
<br />v:i y
<br /> yo e LA114,
<br />I _t '2 -011i 2 -1‘fri
<br />4.
<br />0‘.1‘
<br /> 0 Unit <:?
<br />Unit 3 ,2;1,1. 23917 ,;:),15L, ILIA\
<br />S.
<br />S. D'Unit 4
<br />7.
<br />
<br />
<br />0 Unit 5
<br />Unite
<br />2,01;rry OTHEa CLEANUP SITE (140N-LOP)
<br />jatINDERGROUND TANK (MONITORING/REMOVAL)
<br />ABOVE GROUND TANK
<br />..211IAZARDOUS WASTE/HAZARDOUS MATERIALS
<br />0 TIERED PERMITTE'D FACILITY
<br />0 TATTOO/BODY PIERCING 0 COMPLAINT/RESPONSE RECORDS 0 OTHER (PLEASE SPECIFY)
<br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:00PM (ExcLuDING HOLIDAYS)
<br />List up to ten addresses In the space above. Select the type(s) of flies from the list above by checking the appropriate
<br />box(es). At least one file type MUST be selected. r ex to (20.91464-0138 or mall_to the addreas_indtcatectAbove. Address
<br />ranges will not be aeceOted - for additional assistance with tile addresses, contact the END. Applications received after
<br />3:00 pm will be processed the next business day.
<br />The END will notify the applicant If any El-ID flies exist. An appointment for review will be confirmed approximately ton (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 />A file that is actively being worked on by END staff may not be Immediately available for review. A new application may be
<br />submitted when the file is available.
<br />Any RI. not returned In th• same condition as released will be reorganized by EHD staff at the ox nag_ of the a licant.
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<br />Received Time Aug. 8. 2014— 1: 11P114 klo. 6775
<br />WO 2
<br />Specific Date Range of Information Requested: From to
<br />ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br />NDERGROUND TANK (UST) CLEANUP SITE (LOP) 0 MEDICAL WASTE FACILITY CI SOLID WASTE FacasnIVENcLE
<br />HOUSING ABATEMENT
<br />11 FOOD FACILITY
<br />CI CHICKEN RANCH/ DOG KENNEL
<br />O MOTEL/HCM o POOL/SPA
<br />jaWAsTE TIRE
<br />171 DAIRY
<br />WASTEWATER TREATMENT PLANT
<br />PUMPEFITRUCK/YARD/CHEMICAL TOILETS
<br />1:1 LAND USE APPLICATION SITES
<br />'41
<br />10.
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