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1234 KLEINFELDER 11:22 12-03-2010 1 /1 <br /> Vn 1 G f\CI,.CIV CU MC611k� EHD LOG NUMBER <br /> \10 � ' A SAN JOAQUIN COUNTY <br /> .� tom` ENVIRONMENTAL HEALTH DEPARTMENTC <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov,or /ehd <br /> PUBLIC RECORDS RELEASE APPLICATION C l� GtCtc@I' Sc� <br /> ---------------- <br /> � t.! PIICANT: �(� BUSINESS/AGENCY: <br /> DEC VPRESS: ���� (� S CITY/STATE/ZIP: <br /> PHONE (1 S11 - PHONE(2j: FACSIMILE: 676 <br /> RpNMENTPv1 TATIVE"APPOINTMENT DATE: Time. <br /> (Please allow 10 business days fromICbmittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$122K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ��,(,�6(0 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 4- U—��C� Q Unit 1 <br /> Q�/ �� <br /> 2. - �4'/fo ���.� � r Unit <br /> 3. -` <br /> 4 U z _ nit 3 I -J <br /> 5. '} <br /> s ' <br /> 71- <br /> ��WIIVti4 <br /> _7-_ 50 0� v�o LZI�5,� <br /> L9( <br /> ElUnit 5 <br /> .10.. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From h1L to CV(ee.�C <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE d�J <br /> Ror=*KLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIREFrOJ .., <br /> NDERGROUNO TANK(MONITORING/REMOVAL)� ❑DOG KENNEL ElDAIRY W <br /> L777ALARDOUS WASTE GENERATOR a ❑CHICKEN RANCH <br /> ❑TIERED PERMITTED FACILITY ❑WASTEWATER TREATMENT PLANT I Z_ 7, <br /> ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA <br /> ❑LAND USE APPLICATION SITES <br /> C► -VEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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(209)464-0138 or mail to the 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 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 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> is 5; <br /> Q O DO <br /> 6 11 /U9r- r6 <br /> 12 -ID' IA A 0 r 24noMn -(0 0 Oz125, <br /> EHD 4"6 qT(DODDTD <br /> 726�� OL2g90N, WW;ggl7, �- <br /> 07/29/10 <br />