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i=ldq`t -IC) EHD LOG NUMBER <br /> H170HlViI,lENNOB-ANA SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> DOZ (61 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd CA�-ql <br /> WJ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Mike sonke BUSINESS/AGENCY:cardnoATc <br /> ADDRESS: 1117 Lone Palm enue Suite 201 CITY/STATE/ZIP:Modesto,CA95351 <br /> PHONE(1): (209)579-2221 PHONE(2):(209)356-5018 FACSIMILE:(209)579-2225 <br /> TENTATIVE*APPOINTMENT DATE: Monday May 6,2013 Time: 10:00am <br /> (Please allo 10 business days-from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ ES 125 F E(C R CK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLI ANT DATE April 22,2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> O714 N. Hunter Stockton /lb i o <br /> n <br /> C2� 715 N. Hunter Stockton O_Z 1 (y( )IM0O UnIt2 <br /> 3. 804 N. Hunter Stockton <br /> 4. 819 N. Hunter Stockton P 'I nit3 <br /> 5. 706 N. EI Dorado Stockton _ <br /> 09 <br /> 6. 713 N. EI Dorado Stockton 5 ita <br /> 7. 725 N. EI Dorado Stockton <br /> 8. 804 N. EI Dorado Stockton T M4Q Na its <br /> 9. 212 W. Poplar Stockton N�tt vl t 3 iU0(4i1 3 <br /> 10. ❑Units <br /> Specific Date Range of Informal ion Requested: From to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Al UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITY EHICLE 1-( <br /> ❑■ OTHER CLEANUP SITE(NON•LO ) ❑HOUSING ABATEMENT ❑WASTE TIRE I �('� <br /> Q UNDERGROUND TANK(MONITOR NG/REMOVAL) ❑FOOD FACILITY ❑DAIRY 5-(�-( <br /> ❑■ ABOVEGROUND TANK -,- [:1 CHICKEN RANCH/DOG KENNEL El WASTEWATER TREA MENT PLANT <br /> Q HAZARDOUS WASTEIHAZARDD SMATERIALSV ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> Q TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING Q COMPLAINT/RESPONSE RECORDS ❑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 n 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 accep d-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processe I the next business day. <br /> 2. The EHD will notify thea plicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of appl cation. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled aCC Drdingly. <br /> 3. A file that is actively 4ei g 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 ti a 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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> + ZbA72' U"5� . 16 4 f u <br /> (� vo Out ,�� v 6 E i lJo.� 0 S ( z i7 <br /> w o as D-Z <br /> - <br /> L <br /> EHD48-06 j, c0D5� 7I toe 0Wi✓ m / Antj <br /> 6 V,5 6000 7-Ad i <br /> lk �/411�2 <br /> �� 4 " V5 <br /> G <br /> T(6t D <br /> U 610 -7(3 0 at -dk <br />