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03/24/2009 22:10 FAX 2098327476 -- 10V01/001 <br /> 03/13/2009 FRI 9: 36 FA%�433 57C EHD . - 20.02/002 <br /> G L S 1��� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 2 5 2009 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgo . V <br /> ENVIhENNIEN1 HEALTFl v <br /> pF PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:�'!I I h A01 * ! �k k kN I BUSINESS/AGENCYt <br /> U _ <br /> ADDRESS: O.l!AAY It�/�v lid,n 91q -33 ( <br /> �_ 'city/slatelzip K�T_�_� <br /> PHONE(1); OCU"1 - Q'3 Z� 0 D 6 X PHONE(2);nA@,�l, ' I 1 ` -3 3 ( FACSIMILE:.2b� <br /> TENTATIVE`APPOINTMENT DATE: 0 R"t ;�'-r ,P O 0 q Time: I 0.1.0(] A - <br /> (Pleaso,allow 10 business days from date of application su mittal-'Terhative only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITE REhPET.$105 FP(CA HDR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT -1C_ V G",a— DATE I 3 _ <br /> Electronic Information; ❑ List❑Map-Description: <br /> FILEADDRESS EHD USE ONLY <br /> Street# _ Street Name City <br /> 1• Y °I u. TikoRrlTo D O D I - <br /> 2, nit 2 <br /> 3. <br /> 4. Unit 3 <br /> 5. -- - --- IZ,� <br /> ---- <br /> 6 Unit4 <br /> L1901. Unit 6 <br /> 1 <br /> Specific Date Range of Information Requested: From _ eJ 1A IJ E 2,(- DO 0 to E$ G N r� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �J <br /> 4T.UNDERGROUND TANK(UST)CLEANUP SITE(LOP) D HOUSING ABATEMENT O SOLID WASTE FACIUTY/VEHICLE Y +/] 10 <br /> THBR CLEANUP SITE(NON-LOP) � D FOOD FACILITY D WASTE TIRE <br /> ,�.YUyNDERGROUND TANK(MONITORING)REMOVAL) ( D DOG KENNEL D DAIRY <br /> AZARDOU$WASTE GENERATOR/x 0CHICKEN RANCH D WASTEWATER TREATMENT PLANT <br /> C)TIERED PERMITTED FACILITY r _ D MOTEUHOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> D TATTOO/BODY PIERCING D POOL/SPA Cl LAND USE APPLICATION SITES <br /> D MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) Rll - 91g1VY'fS <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY a:00 AM-5:OOPM - EXCLUDINGT HOLIDAY$. <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(2091464.0138 or mail to the address indicated 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 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 /> 3. A file that Is actively being worked on by EHO 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> -� f0 wil,11 a 6vou o f OT-15675- 0 I d't000 1 ZZ <br />