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_ EHD LOG NUMBER <br /> SAN .TOAQUIN COUNTY <br /> NOV 2 0 2006 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 Last Weber Avenue, 3"1 Floor, Stockton,CA 95202-2708 r r G <br /> ENVIRONMENT HEALTWPholte: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd �{ (]/` <br /> P£RM T/�IS,�lEWC£Sn 11PUBLIC RECORDS RELEASE APPLICATION l <br /> APPLICANT: AfAum 1roUGi'1�7Ju BUSINESSIAGENCY:_ 'FT1'- C'Y/%yj{//hel <br /> ADDRESS: d.ZrS Me/LI/Tn /wnv /"'I<af of Ih%(� G"A 9i�sz3 <br /> PHONE(f): Y* PHONE(2): FACSIMILE: .7S-rrP0 -w�1�>O <br /> TENTATIVEAPPOINTMENT GATE: Time:-0 dffb � <br /> (Please allow 10 business days fromdata D appl�lCadon submitral•'YenYdtive only-must be confirm )n <br /> ID CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ->• if r i 11� DATE &(aek,� <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Y Street Name City ❑ Una 1 <br /> 1. fje u.S <br /> 2. 1 � 'r ;r kyr ❑ Unit2 <br /> 4. <br /> (5( unit 3 <br /> 5. <br /> D Una4 N, <br /> 6. �� 111 n <br /> T. <br /> ❑ Unit 6 <br /> _e. npr <br /> 9. ❑ Unit 6 <br /> 10. <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> L.G UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING A6ATENENT 0 SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY CI WASTE TIRE <br /> UNDERGROUND TANK(MOMTORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> .J`AYALRDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> t„41 TIERED PERMITTED FACIQTY 0 MOTELIHOTEL 0 PUMPER TRUCKIYARdCHEM TOILETS <br /> O TATTOUBOOY PIERCWG 13POOLISPAMLANDUSEAP_P}IATIONSITES <br /> •MEDICAL WASTE FACILITY OnTHER(PLEASE SPECIFY) _ Wt rt ,7 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 0:00 -5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(208)464-0138 or mail to the address indlcated.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 tan(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 rile reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 4896 0/192008 <br /> TO 39vd Hd 9NIa33NION3 DI13 0LLhL099L6T 80:LT 900./0Z/TT <br />