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09/11/2009 16:57 415-344-3162 FLACK + KURTZ PAGE 01 <br />[i%WDD <br />SAN JOAQUIN COUNTY <br />EHDLOGNUM13E <br />SEP 1 0 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-3029 <br />ENVIRONMENT HEALTI-Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/eh <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />91 <br />APPLICANT: Nicole Persaud <br />BUSINESSIAGENCY: Delta Consultants <br />ADDRESS: 2300 Contra Costa Blvd, Suite 500 CITY/STATE/ZIP: Pleasant Hill CA 94523 <br />PHONE(1): (926) 265.6266 PHONE(2): 1407) 758-3428 _ FACSIMILE: <br />TENTATIVE'APPOINTMENT DATE: _ Time: A N Y <br />(Pleats allow 10 bualness days from applicMon aubm - Tentad" only - must be contimmxg <br />❑ CHECK BOX TO EXPEDITE REQUEST - $115 FEE (CASH OR CdECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ��4rr/.�+.(%yt.c}/J(/ DATE/019 <br />Electronic Information: ❑ List ❑ Map! Oescrlptlon: <br />FILE ADDRESS <br />END USE ONS <br />Unit 1 <br />(J11 J <br />nit 2 <br />street # <br />stmt Name <br />City <br />1. <br />942 <br />S Stockton Ave <br />Ripon2. <br />3. <br />nit 3 <br />4. <br />5. <br />40 <br />nit 4 <br />6. <br />7. <br />❑ Unit 5 <br />8. <br />9. <br />Mt 5 <br />10. <br />NIti1 <br />apecmc waw wogs m nxom,wtlw Rsgij I : From ALL DATES AVAILABLE to ALL DATES AVAICALE <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUNDTANK(UST)CLEANUP SITE (LOP) HOUSING ABATEMENT tzSOLIDWASTE FACILITYNEHICLE <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY WASTE TIRE <br />UNDERGROUND TANK (MONITORING/RR"AU ❑ DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATOR / GCf i J t3 <br />❑CHICKEN RANCH C5 -,WASTEWATER TREATMENT PLANT <br />IRTIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUGK/YARDICHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING ❑ POpUSPA BLAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RLcYIEW MONDAY-FIVDAY 8:00 AM-S:OOPM (EXCLUDING HOLIDAYS) <br />1, List up to tan add In the space above. Solect 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 mall to the addresa Indicated above Address <br />ranges will not be accepted • for additional assistance with file addresses, contact the END. Applications received 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 ten (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 END staff may not be Immediately available for review. A new application may be <br />submitted when the file Is available. <br />4. Any fib not returned In the same condition as released will be reorganized by END staff at the expense of the applicant <br />Future file reviews by the same applicant may require a $115 deposit prior to review. <br />5 If you need further assistance, please contact Diane Martinez, at (209) 486-3425. <br />