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LZ7C '°P'J �l: l [ Z I 0 Z lnr ;W I i paAI ;D9 <br /> r-�t�r-� `�'' r `+ E:HD LOG NUMB R <br /> t 1, --� ��i��(i j SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT2 2012 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.5jgov.org/ehd 1 <br /> ENVIRONMENTAL HEAL`M <br /> PERMIT/SERVICES <br /> 1 I PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 1Ward BUSINESSIAGENCY: GaiaTech <br /> �T <br /> ADDRESS: 222 West Las Colina Blvd 41950 N.Tower CITY/STATE/ZIP: Irving TX 75039 <br /> PHONE (1): 469.385.1600x224 PHONE (2): 817.454.5448 FACSIMILE: 469.385.1599 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-6126 FEE(CA OP,CHECK ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Wesley Ward / �y DATE 7/1 /12 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street ti Street Name I City 2"Unit <br /> U(� 1 400 East Main Street Stockton Lo TA _l 0 CO/)r <br /> I / <br /> 2. El Unit 2 <br /> 3. I j <br /> 4• '•Unit 3 � C'] <br /> �. >`Unit 4 <br /> 7. <br /> s. Unit 6 <br /> 9, <br /> 10. <br /> Specific Date Range of Information Requested: FromAl( K& r,r r{ r c i to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACIUTYI{VEHICL <br /> ❑OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY ❑WASTE TIRE •2 / <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY I/���-� I <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATNVIENT LANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOMODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WBLL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ton 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> T I Z /'1 V �r I'l '� I r �). I 1 1 1 '7 GL f <br /> I <br /> i d W41 Z VOCIlel 2/7 wa-D <br /> EHD 4e-0e - ennt ■ <br /> T9/TO �J~d H031VIV9 665TSSC69V LT:ZT ZTOZ/ZO/LO Ell <br />