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06/02/2005 09:17 3147297352 PAGE 01 <br /> kCMU LUU mVFIKDkI< <br /> �DATE RECEIVED SAN JOAQUIN COUNTY <br /> G°3FCF���DD ENVIRONMENTAL HEALTH DEPARTMENT /v <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> juii 0 2 2005 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/chd <br /> ENVIFOiJM.ENI HEALTH <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION ;V <br /> gPPLICANT: TfDENr1Y`6 SJAyBUS ESSfAGEN�h p? <br /> EUE0-6p-S&V &Axi- FaLp .A) O� <br /> ADDRESS: 2241 <br /> PHPNri1(1): 363'6,TV' /320 _PHONE(2): FACSIMILE: 13-03-67Y. <br /> W1 .y- Time: �Q-� <br /> TENTATIVE`APPOINTMENT DATE: 7uN c <br /> (Please allow 10 business days Nem date of appli2ion 4UhmiMal-'Tentative Only <br /> must be Confirmed) ((�� <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE �� <br /> UNIT pl$TR1ttUTiON ❑ Unit 1 ❑Unit 2 nit 3 Unit 4 ❑ Unit 5 0 Unit 6 ❑ Other(elecfrunlcRlstslmeps) <br /> FILE ADDRESS WEHDStmt# Street Name Ch1'1 E. FQ MoN �3T. oc 2. DSS( P_ FOE QA3. V IZ4. 2fo E. �YTG£M Z, L.Oa <br /> A C <br /> 6. <br /> 7. <br /> 8 I - <br /> 10. <br /> Specific Date Range of Information Requested:From 2000 to R <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES '. <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑SOUP WASTE FACILITYIVEHICLE <br /> 0 OTHER CLEANUP SITE(NON4-OP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ❑y UNDERaROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> X HAWLOOU9 WASTE GENERATOR 0 CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMRTED FACRJTY 0 MOTEUHOTEL 0 PUMPER TRUCK(YAROMNEM <br /> TO <br /> O TATTOOlBODY PIERCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MDNPAYfRIDAY 8:00 AMfa:00PM - E%CWDmG 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD,Applications received after 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 <br /> approximately ten (10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be submitte4when 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 <br /> applicant, Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> W444 8£. 'rN SroctronJ oN TuA1£ cJDES • L.�oG:�D fIr°p�eecafe <br /> F You COULD <br /> EHD Aeaxaa <br /> rnaros <br />