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}� FR ental, Inc. CWED>MAR 10 2010 12:56/(7. 12, <br />MD <br />bA C IV e�• <br />2010 SAN JOAQUIN COUNTY <br />MAR .1 U NVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRUNNII<N f HEATH `" 600 East Main St. Stockton, CA 95202-3029 <br />PERMIT/SERVICES e°ne: (209).468-3420 fax: (209) 464-0138 Web:-www.sjgov.orc <br />PUBLIC RECORDS RE <br />APPLICANT: 11 / O'%-eLJ <br />ADDRESS: i -S33 <br />PHONE (1):310-19-%' 8 ''c-36 HONE (2): <br />TENTATIVE* APPOINTMENT DATE: 3—M <br />{Please allow 16 business days from date of a, <br />XCHECK BOX TO EXPEDITE REQUEST - 5115 F A. <br />SIGNATURE OF APPLICANT <br />E APPLICATION <br />55fNo 7500000321 P 1 <br />Irehd <br />EHD LUG NUMBER <br />BUSINESSIAGENCY:PIKS t`on�te^ <br />F. TYISTATEIZIP: <br />FACSIMILE' 510 -$ <br />Time: <br />Ionsubml . T� ve only. - must be confirmed)'. <br />CHECK ONLY ; E�T PROCESSED IN 3 BUSIN3DA <br />sV_ DATE <br />Electronic Information: <br />❑ List ❑ Map -- Description": <br />FILE ADDRESS <br />EHD USE ONLY <br />Q Unit 1 <br />Streets Street Name <br />City <br />e ' `s .�: <br />❑Unit2 <br />is <br />2. � w+ml C. &A- <br />'.7r <br />0/t <br />3. <br />pCi <br />lir <br />S <br />r <br />it <br />0 P11 I <br />cZ `77 <br />Z Unit 3 <br />4. d 1� <br />5. <br />F re <br />fs <br />6. <br />❑ Unit 5 <br />p7.Ab <br />S. J 4 `f� <br />9, <br />Ob nit <br />10•' .!(} <br />Specific Date Range of Information Requested:. FroriP to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP 'SITE (LOP) ❑ HOUSING ABATEMENT_ ❑ SOLID WASTE FACILITYNEMCLE <br />HER CLEANUP SITE (NON -LOP) ❑ Fool) FACILITY ❑ WASTE TIRE <br />UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY <br />,HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />❑TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />.❑ MEDICAL 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 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 addre$$indicated above. Address . <br />ranges wlll not be accepted - for add-itional 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 END staff may not be immediately available for review. A new application maybe <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 $115 deposit prior to review. <br />5- If you need further assistance, please contact Diane Martinez, at (209) 468-3425. <br />END USE ONLY <br />EHD 48-06 - on7/09 <br />