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06/03/2008 09.51 FAX 5302431654 _, CH2H, HILL @1002/002 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT -70 <br /> 600 East Main Street, Stockton, CA 95202-3029'^ <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgOV. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lun Q 6(qBUSINESSIAGENCY! CH2.6 NI-11 <br /> ADDRESS: �L!S 2�5 Q'f p_kr{T ()r PIC I I- ( A <br /> PHONE(t): 3C+'2''Lsi' ``t` PHONE(2): FACSIMILE: 5.31'339'3241 <br /> TENTATIVE*APPOINTMENT DATE: fiI I2�V Time: 110D <br /> (Please allow ten business days from date of application submittal-•Tentative only-mtm! be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$99.00 FE (C SH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE (h i'08 <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> Street#! Street Name City I ❑Unit I <br /> 30 5. ElOorrt�D SfTcfc}en d US C� <br /> may✓ 3 (3? 5 roofs tit : Lt* 6j ): !dw 0)TP > ' z <br /> V` 3214 S. E J)O, A.e /IDIc4yno 10 !t�tItl— <br /> 3aa o h 5 -ll T 1¢! Apr Aeon"O <br /> 3l 5. E1 Docado y( <br /> Z 5 Ai c'iWoo AA 5 7-(6tj: a G/) Ipexs Sj unit6 <br /> �Q� \` 3{05 I Omrada6 v7( W aes Ikd <br /> fi 3g02 Ito 5i(o ): H (LJ 1OES ar units <br /> 8b( C q( N AVL • Ifo A nit <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FJI <br /> LES <br /> uUNDERGROUND TANK(UST)CLEANUP SITE(LOP) InHOUSINGASATEMENT 13SOLID WASTE FACIUTYIVEHICL.E_ ,/, � <br /> UTHERCLEANUP SITE(NON-LOP) ❑FOOD FActuTY 13`WA$TEnRE /_IPLA V(1\Va, (Y n2/J <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ODOG KENNEL 0DAIRY \� ✓ <br /> tltltltltltl�ERED PEERRAm FAauTY WASTE roR ❑MOTEUHOML ❑WASTEWATER <br /> UMPFR TRUCKIYAROITREATMENT <br /> EM TOI ✓✓✓ <br /> TATTOofSooY PIERCING ❑fPOOLISPA VIAND USEAPPUCATKIN SIMS <br /> 171 MEDICAL WASTE FACILITY 19 OTHER(PLEASESPECIFY) Ar' )AQ7, <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW-MONDAY-FRIDAY 8:08 AM-S:00PM -E%CLUOING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the fist above by checking the appropriate <br /> lam(es). At least one file type MUST be selected. Fax to(2091464-0138 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 END 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 /> GF7 � D'1 L It .4 - fl.r .. I IfL L <br /> -0!TW39AT PUBLIC RECORDS RELEASE APP FORA <br />