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10/08/2010 09:18 916641? 9 ADR PAGE 01/0 <br />EHD LOG NUM ER <br />RE <br />0 SAN ,JOAQUIN COUNTY 61 <br />t 4 ��-(u ENVIRONMENTAL HEALTH DEPARTMENT <br />y� 600 East Main Street, Stockton, CA 95202-3028 <br />v�R��N1Evl � W 'irlephone: (209) 468-3420 Fax: (209) 464-0138 web: www.sjgov.org/ehd <br />��p>�p,N11T1SERV� PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: V-TStA15 c(4A-LtVQ3 BUSINESSIACG°AENC,Y":ls�-T�VP--,�6}f� pM� � <br />ADDRESS: �� Cj - �l sj i 2 2 Clty(5tate Zi 0 lTii�n / `a - <br />PHONE (1): `� I • 0 PHONE (2 46 - 4-2 '-32b �' FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: 0 Time: 0 1()f� <br />(Please allow 10 business day$ from date o application submittal -"Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUZ $105 FE (ASH OR CHECK ONLY) • REQUEST PROCESSED IN 3 6 SIN 33 DAYS <br />SIGNATURE OF APPLICANT J JLt-- . �� DATE j <br />Is <br />I Finnfrnnic Information: 0 List ❑ Map - Description: <br />Specific Date Range of Information Requested: From DD -� to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 171 HOUSING ABATEMENT SOLID WA <br />FACI4ITYNEHICLE r p � , 3; <br />OTHER CLEANUP SITE (NON LOP) © FOOD FACILITY % WASTE TIRE CA' %f % <br />© KENNEL DAIRY <br />UNDERGROUNDDOG TANK (MONITORINOIREMOVAL) O� j4WASTEWATERTREATMENT PLANT <br />DZHATARDOUS WASTE GENERATOR Li, 11 CHICKEN RANCH 1►y <br />,,yy, Cl MOTELIHOTEL tl PUMPER TRUCKfYARDICHEM TOILETS <br />/� TIERED PERMITTED FACILITY ❑ POOL/SPA M LAND USE APPLICATION SITES <br />bLTATTOQIBODY PIERCING q OTHER PLEASE SPECIFY) <br />we ❑ MEDICAL WASTE FACILITY <br />�F•�LJ WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE rOR REVIEW - MONt3AY-FRIDAY 8:00 AM•Bt00PM - E7(CLUDINO HOLIDAYS. _ <br />1. List up to tan 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 (209) 464 0138 or mail to the address indicated aboAddress <br />ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pall will be processed the next business day. approximately ten (10 <br />2. The EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed app ) <br />days atter receipt of application. The files will be held for a maximum of five businese days for review. Appointments <br />should he 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 expense of the applicant. <br />Future file reviews by the same applicant may require a $105 deposit prior to review. <br />-- 1IOL nK91 V <br />EHD 48-08 8/04/08 <br />