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5 1..;19 <br /> 05/09/2012 18:26 92F -77-1495 FEDEX OFFICE 5154 PAGE 01 <br /> DATE RECE;IVEp EHD LOG NUMBER <br /> SAN .lOAQUIN COUNTY <br /> �ECEj\fED ENVIRONMENTAL HEALTH DEPARTMENT n\� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 t1� <br /> q� (1 1012 Telephone: (209)468-3420 Fax: (209)46"138 Web:www.sjgov.orglehd <br /> ENVIRONMENTAL HEALTh1 <br /> PERMITISERVICES (PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Mar 1C BUSINESS/AGENCY: QDIG �nviionmrn�at� <br /> ADDRESS: <br /> s _....... -��n�apc[_ra_m ah O / CITY/STAT@f$IP; ��rJ2,047011 <br /> PHONE(1): �� 9H <br /> PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Pleaae allow 10 business days from date of application submittal..'Tentative only-Must ba confirmed) <br /> ❑CHECK SOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE S-q I Z <br /> Electronic Information: Il List❑ Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> Street d Street Name cityUnit <br /> 2. <br /> Unit 2 <br /> 3. <br /> 7. <br /> 4. .�]Unit 3 <br /> 5 "**Please respond as soon as possible. <br /> I need to notify applicant during week of 5/14/12 if <br /> e' EHD has files for listed addresses or not. '61t4 <br /> T <br /> 8. <br /> Unit s <br /> S. <br /> Rio, <br /> Unit e <br /> Specific Date Range of Information Requested: From to i• <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES (ti'ttJ' <br /> [� ip <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOusiNo ABATEMENT El SOLID WASTE FAQUTYIVEHICLE 3 i <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE L'0�I'13,0 <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) r]Doo KENNEL []DAIRY <br /> �j HAZARDOUS WASTE GENERATDRf+ ❑CHICKEN RANCH L1WASTEWATER TRLATMENT PLANT - t Z <br /> ®TIERED PERMITTED FAcILITYcA ❑MoTEUHOTEL ❑PUMPER TRuCK/YARDICHEmcAL TOILETS <br /> ❑TATmo/BoDY PIERCING ❑POOL/SPA <br /> ❑ MEDICAL WASTE FACILITY [I LAND USE APPLICATION SITES <br /> ❑COMPLAINT RECORDS El OTHER(PLEASE SPECIFY) . <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY S:BO AM-S:DopM(EXCLUDING HOLIDAYS) <br /> 1, 'st up to ten addrassos In the space above. Select the types)of filets from the list abeve by checking the appropriate <br /> box(es). At least one file type MAST be selected. Fax to(2851464-0138 or mail to flee address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the F:HO. Applicatona received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EMD will notify,the applicant it any EHD fires exist. An appointment for review will be confirmed approximately ten(1a) <br /> days after receipt of application. The flies will be held fora 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. Anyfile,not eetumed In the same condition as released will be reorganized by END staff at the expense of the applicant, <br /> Future fit®reviews by the same applicant may require a$129 deposit prior to review. <br /> o <br /> r. , , <br /> ._IU-IF41 VT4 <br /> I vet <br /> enna .as �,.E i✓1 � ftU ,�r �i l e�, 7 � S 11 <br />