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01-19-09: 11 -48AM: # 2/ 2 <br /> �frp�r;�j✓�I((1EHD LOG NUMBER SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT r /� <br /> jAN 2 0 2009 600 East Main Street, Stockton, CA 95202-3029 (J(J`J(/� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov. 057 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Saco-� KowSe-- BUSINESSIAGENCY: U2S <br /> ADDRESS: a iD ks a1• So11e \5D City/State/Zip S.cr_ <.h Tt a 45833 <br /> PHONE(1): alb- (o lol-a .35 PHONE(2): FACSIMILE: Q11e- L-?It- 2'(00 <br /> TENTATIVE*APPOINTMENT DATE: 'd 13 I Doi, Time: CI:Oa o.v+ <br /> (Please allow 10 business days from date of application submittal-7Tenfadve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT tu.B� DATE 1119 aq <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street X Street Name city ❑ Unit 1 <br /> 1. a64if k. Tr o 5 <br /> 2. 55 7 ❑ unit <br /> 3. 61 1 <br /> 4 Unita <br /> 5 a634� y" <br /> Unil4 <br /> 6. A(D qLjLf ND ";k3 Iva <br /> 7. 2 e v� 5 , u yl ,� ' <br /> El8. abR1 I�ut1:� 3dlJi <br /> UOtD(°ll Units <br /> g• 2 b4K5 I-] unit s <br /> 10. 3 <br /> Specific Date Range of Information Requested:From 1`l*30 to nrtsew�r <br /> �� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> U/yNDERGROUND TANK(UST)CLEANUP Brie(LOP) 17 HOUSING ABATEMENT 13 SOLIDWASTE FACILRYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY Cl WASTE TIRE 1 ZbT�(J'I <br /> RINDERGROUND TANK(MONrTORINGIREMOVAL)� E3 DOG;KENNEL E3 DAIRY I <br /> HAZARDOUS WASTE GENERATOR N ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACIUTY0"- E3 MOTELIHOTEL ❑PUMPERTRUCK/YARD/CHEMTOILETS <br /> O TATTOOIBODY PIERCING ❑PDOUSPA ❑LAND USE APPLICATION SITES <br /> 0 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 ten 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> - 28-09 r cr Of HA 0 33 <br /> EHD 49-06 8/04108 PUBLIC RECORDS RELEASE APP FORM <br />