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Apt, 8. 2008 15,34 PPOWN & WINTERS No. 0660 P. 1/1 <br /> -male r./ <br /> �-1 <br /> y SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> �L ^ISD <br /> ENVIRONMENTAL HEALTH DEPARTMENT w� <br /> R - 8 2008 600 East Main Street, Stockton, CA 95202-3029 /�� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.or eh 3 <br /> i".EAT HEALTH <br /> ,'SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: H ,�v GCo BUSINESSIAOENCY: WIN <br /> ADDRESS- •V1M1 VVI \ Ae O <br /> PHONE(1) PHONE(21: FACSIMILE: ,.�teb (033 yy� <br /> TENTATIVE'APPOINTMENT DATE: 1A Z3 OSf Time: (_�W a• M, <br /> (Please allow ten busi y- 9'8'04'FE' <br /> from ate of ap liptlan submittal••Tentative only-must be wlTfirmed) <br /> IM CHECK BOX TO EXPEDITE RE EST . (CAS CHECKONLY)•REQUEST PROCESSED IN THRE BU INESS DAYS <br /> SIGNATURE OF APPLICANTDATE D <br /> Electronic Information: ❑ List❑Map•D 'ption: <br /> FILE ADDRESS EHD USE ONLY <br /> Street>r Street Name City \ 0 <br /> Vntt t <br /> 345 Y'yf�,- C6¢ I f h 1S1 oZsCZJ vtoSpha.,O <br /> O Q K h '10L ° g v1 I{ atl2):tits QZ :kay0rl� aumts <br /> 1 <br /> ♦I<� y,, V� ✓t0 •�t ds7' J CII I�l�lo �/ � N• t O � I D �CAV� tfW(oZ)� U r(d7)"Ul%S�2 a'tf <br /> 1` \ .'r"iiiiI ,// 0 ;OtA C 6WA <br /> (51►ctL /lo X10; O SI Gtr iv0 / nit 4 <br /> >1 NC DO : 0,c f�;Hdb Gv <br /> AL t 5 %ne 5vC4wrNFF o u"ita <br /> _ Fv-cwm1 fA cab '" 3f, NFf <br /> q?p W• L i riots Sf. SfacktrN o a N rifts <br /> Specific Date Range of Information Requested:From to <br /> ti <br /> ����,,,,(((( ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT egSOLID WASTE FACILITYIVEHICLE <br /> �I(''HER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> MVNDERGROUND TANK(MONITORNGIREMOVAL) 0DOG KENNEL C3 DAIRY "J- �rr'LLLL <br /> M-AAZARDOua WASTE(VENERATOR ❑CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> C3 TIERED PERMITTED FACILITY ❑MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATT0018ODY PIERCING 0POOLISPA O LAND USE APPLICATION SREs <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-S:00PM -EXCLUDING HOLIDAYS. I <br /> 1. List up to ten addresses in the space above. select the type(a)of filas from the list above by checking the appropriate j <br /> box(es). At least one file type MUST be selected. Fdx to 1209149401 LR or mal to the�bove Addam. 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 EHD will notify the applicant U any EHD files exist. An appointment for review will be confirmed approximately ten <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. Afiie 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 1 <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. I <br /> EHD USE ONLY <br /> EHD seas+012107 <br /> PUBLIC RECORDS RELEASE APP FosM <br />