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AUG -15.2008 10:47AM <br />L. <br />tllCa R <br />2 0`0 8 <br />I':�YI��Ntw'ik�)i IyCGi�Tf-I <br />PE 1v11T/S`t VlCES <br />APPLICANT., <br />BD & J LLC NO.469 P.2/2 <br />SAN JOA,QUIN COUNTY FHD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 Fast Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj a.o h <br />ADDRESS: M04i,, <br />PHONE (1): (5'l 6L14- � <br />PUBLIC RECORDS RELEASE APPLICATION <br />2� 7� PHONF (2): <br />BUSINESS/AGENCY: 17Y4�Y) L. c LIPn &2. � CB e%i) <br />Clty/State2lp O— 1 CaAo , /L e_Q (o- 5-4 <br />r Jl <br />FACCSSIMILE: L'S <br />TENTATIVE' APPOINTMENT DATE: 4LSA1e Time:..NA <br />(Please allow 10 husiness days from date of application submittal-'Tentatly© only. Must be confirmed) <br />�J CHECK BOX TO EXPEDITE REQUEST -$105 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br />DATE <br />miectronic Information; LJ Llst U Map -- Description: <br />FILE ADDRESS <br />Street # Street Name City <br />EHD USE ONLY <br />w c ❑ Unit <br />1. <br />$SUI <br />l,Jcs �}, <br />frac <br />2, <br />Unit z <br />3. <br />4. <br />/.°Unll3 <br />- <br />5, <br />Unit 4 <br />6. <br />7. <br />Q unit 5 <br />8 <br />9. <br />❑ unit a <br />10 <br />Specific Date Range of Information Requested; From 00 a"." to "_U <br />t4� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />DERGROUND TANK (UST) CLEANUP SITE (LAP) M HOU9iNG A A <br />9 TEMENT SOLID INAST2 FACILITYNEHICLE i�,� <br />t <br />RATHER CLEANUP SITE (Nowt -OP) 13 FOOD FACILITY L,�.,ASTE TIRE i I vl � 1 3 , f � <br />NDERGROUND TANK (MONITORING/REMovAj,)p( M DOG KENNEL t plRy Lil I I _ // <br />HAZARDOUS WASTE GENERATOROf M CHICKEN RANCH d WASTEWATER TREATMENT PLANT 6l!ZI(( <br />CI TIERED PERMITTED FACILITY is MOTEL/HOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br />17 TATToolBODY PIERCING 0 POOL/SPA C1 LAND USE APPLICATION SITES <br />M MEDICAL WASTE. FACILITY M OTHER (PLEASE SPECIFY) <br />WCLL AND SEPTIC PERMIT RECORDS ARE AVAILADLE DOR RFvIEW - MONDAY -FRIDAY 0;00 AM-5:OQPM - EXCLUDING HOLIDAYS, <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 Indlcated 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 ten (10) <br />days after receipt of application. The files will behold for a maximum of five business days for review, Appointments <br />should be scheduled accordingly. <br />3. A file that Is actively being Worked an 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 $106 deposit prior to review. <br />EI4t7 It.qF nw v <br />