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6 0 <br />DATE REcEivEo <br />SAN JOAQUIN COUNTY END LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 ///��� <br />Telephone: (209) 468-3420 Fax: (209) 464.0136 Web: w 02 sjg h <br />PUBLIC RECORDS RELEASE APPLICATION v <br />APPLICANT:. RICHARu RAI TI../ C.. <br />ADDRESS:!S80 �I_ IA),1 BUSINESS/AGECN(rtU <br />PHONE (t): `LGQ- Q 68t)-"'�6 (jA Cityl$tate/zip t�7NCY: : PU4 00— (�f"7r� <br />PHONE (2): 204 3 1.1 Z 6 b s F'gCSIMILE: <br />TENTATIVE'*APPOINTMENTOATE: IZ- O -C) <br />(Please allow 10 buslnaaE days from data a pBcatlDn submittal-'Tanrat/ve onlylmmuste confirmed) <br />CHECK OOx TO EXAEDITE REgU $105 F C H O ECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE -10-- %-;L -Q <br />Electronic Information: 0 List ❑ Map -Description: <br />P <br />3. <br />Ave? <br />/�odb,Now/5 E3uNnz <br />2 0 a =d�. <br />Z,)eco y <br />4. <br />5. <br />2O <br />117 <br />S S�Ocu+o yt <br />fi <br />z) 0E5NJAh <br />Uy T� l 1(fi a <br />Unit s <br />6 <br />7. <br />31� <br />�C <br />5 ,065 /No(p(G� <br />Unit4 <br />7 <br />r S' <br />,- <br />8. <br />33i <br />114A <br />• <br />OZ) n ES NDtC/g� � <br />Units <br />9. <br />� <br />(- us S <br />10. <br />23 C) <br />-1 <br />C�L(.4TrPa � <br />0 ❑ <br />Unit <br />Specific Date Range <br />of Information Requested: From @o,le, )14 t <br />to Presen,:c <br />,J NDERCRDUN <br />ASI -t1 T <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />ANK(UST)CLEANUPSITE(LOP) ❑ HOUSING ABATEMENT <br />,/OTHER CLEANUP SITE (NON -LOP) rT FOOD FACILITY SOLID WASTE FACILITYA/EHICLE <br />74UNOERGROUND TANK(MONITORING/REMOvAL)a ❑ ❑WASTE TIRE <br />,HAZARDOUS WASTE GENERATORIK DOG KENNEL d DAIRY <br />❑ TIERED PERMITTED FACILITY ❑CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />C7 TATTOO/BODY PIERCING ❑ MOTEUHOTEL <br />MEDICAL WASTE FACILITY ❑ POOUOTHER PA (PLEASE SPECIFY) ❑PUMPER TRUCI(/YARDICHEM TOILETS <br />© OTHER ❑ LAND USE APPLICATION SITES <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8: 00 AM.S;OOPM-ExCLUOING 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 1209) 484.0138 or mall to the address Indicated above Address <br />ranges will not be accepted -for additional assistance N't file addresses, contact the EHD. Applications reeelved after <br />3:00 pm will be processed the next business day, <br />2• The END will notify the applicant if any END files exist. An appointment for review will be confirmed approximately tan (10) <br />days after receipt of applleation. 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 END 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 />TO 39Vd NOdI210391,13 SGLT66960E TV:TT 8002/LT/LT <br />