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209-234-0538 Line 1 16:03 05-06-2008 1 /1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 1117[F� �UL��� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> MAY 0 ; 2008 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ <br /> ENVIR0WENT HEALTH PUBLIC RECORDS RELEASE APPLICATION // / <br /> APPLICANT: RCD 1�4 /0/ BUSINESS/AGENCY: ;i Ool fq-;'7 <br /> ADDRESS: <br /> PHONE�1): `7` S� PHONE(2): pc FACSIMI -�-�J <br /> TENTATIVE*APPOINTMENT DATE:_- / /a 2—'0,� � C� Time: <br /> /� <br /> (Please allow ten business days from date of a plication submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$98.0 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE -5 <br /> Electronic Information: ❑ Lis Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street/# Street Name City (�( \ / ❑Unit 1 <br /> ( /S� v� f �� V I Lt 's' 10f Flel 01J:o S 1 <br /> © <br /> cv, e V e <br /> SSS � ' .� �� fa C-s (0z) <br /> 5. <br /> 6. nit 4 <br /> 7. <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPALAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY 13 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 above address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will <br /> 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 <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 the EHD staff may not be immediately available for review. A new application <br /> may be 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> 1�6s 25 E. LOU15c It - WW ovk Mvn <br /> GWII AAAA ln,70im <br /> PARI !`RFf.[1RffC RFI F6CF 6PP FARM <br />