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i 06/03/2008 09:51 FAX 5302434654 , CH211, HILL X002/002 <br /> DATE RECLINED EMD LOC NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202°3029 <br /> Telephone: 209 468-3420 Fax: 209 464-0138 Web:www.s" Ov.0 le 710 <br /> P { ) { ) 1g <br /> i' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ! APPLICANT:.,. y111 01 1<ti lam —- — _`DUSINESSIAGENCY: dill <br /> ADDRESS: 2 N'r pcdt - <br /> I PHONE(t): ` ` ' �'1" :`l` PHONE(2): - _ FACSIMILE: S 2'339'3 <br /> TENTATIVE"APPOINTMENT DATE: � (x 17� $� Time: ? <br /> (Please allow tan business days from date of application submittal- T'entative'anly-must be confirmed) <br /> I* <br /> CHECK SOX TO EXPEDITE REQUEST-$9B-00 FE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT a DATE �I3 <br /> Electronic Information: ❑List❑Map-Description: N <br /> FILE ADDRESS EHD USE ONLY _ <br /> Street# Street Name City J. ❑Unit 1 <br /> F2.,, <br /> _5. E10orrtka3`l3 S rL�or unitz <br /> { <br /> L <br /> 32 rl z S. �csraA o Nff IF <br /> a4. link 3 <br /> S, F.� d01a <br /> s' Eaa cal ah Unftd <br /> ❑Unit5 <br /> nit b <br /> Av{ <br /> Specific pate Range o€Information Requested:From — .to <br /> �Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> FnUNDERGROUND TANK(LST)CLEANUP SITE(LOP) 171HOVSING ABATEMENT ',° 1� OUD WASTE FACIUTYNEHICLE <br /> 5G7HER CLEANUP SITE(NON-LOP) 11FooD FACELTrY } 96MTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑Do0 KENNEL M DAIRY <br /> PAZAROWS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMI=NT PLANT <br /> TIERED PrRMrTTED FACILITY 0 MOTELIHOTEL p�PUMPER RUGKlYARDICMEM TDIL!-CTS <br /> d MEDICALTATTO&WASODY PIECING PJPOOLISPA ji`. &LAND WE APPLICATION SITES <br /> ❑MEDICAL WASTEFAGIUTY OTHER(PLEASE SPECIFY) t4.t+��Q'L,_tE/�I�<�-L <br /> WELL AND SEPTIC PERMIT RECORD$ARE AVAILABLE FOR RENEW- M0NDAY-FRIDAY$:O0 AM-5:0OPM - CXCLUOING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of fifes fromIthe list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2991464-0138 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 /> f 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 /> i> <br /> 4, Any file not returned in the same Conditlon 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 /> EN[148-06 101Y!147 PUBLIC RECORDS RELEASE APP r-ORu <br />