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FromAarcus H. Bole & Asso0es 530+633+0119 12'2009 16: 12 #140 P.001 <br /> MOWEDSAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 0 7 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMtNT HEALTITFiephone: (209)468-3420 Fax: (209)464-0138 Web: wWW.sjgov.o <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION n <br /> APPLICANT: ,z . v ' /l1-'. <br /> ADDRESS: —BUSINESS/AGENCY: / q/P'✓f /->/f�l/F� y t ��_ <br /> �t"7 �/^OC/l !/i'/��-C� CltylState2iP l�/fPcL T/G' 2Z/ <br /> PHONE(1): PHONE(2): -30_y/:r— (q/g� r"Id FACSIMILE: `i O <br /> TENTATIVE*APPOINTMENT DATE: ���%� //9u,_r <br /> (Please allow 10 business days from dare of application submittal-'Tentative only.must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE _/aZZ Z <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name T City � <br /> "HII1 e— <br /> 1. L/ Unit 1 <br /> R' � 0 c� n ❑ <br /> 2. �o�� r/ U i 5 I SN it <br /> 4. I L. // (�t�j-j�jZ �-0' /�j Q7 Unit3 / <br /> 67 O ❑ Unit4' gn r r. yT L t`JrNO <br /> 7. <br /> B• p L� / c/-(. �fi;l,/JOIArl�t3U/ 5� Unit <br /> Unit 6 <br /> 10. p k/ C/ter lLJ // Dt No�0 <br /> Specific Date Range of Information Requested:From to 1' <br /> / ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1 UUNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT E'-T$OLID WASTE FACILITYNEHICLE <br /> 4�OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY O WASTE TIRE <br /> (YIfN ERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY c \-nlM11` <br /> IMAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> M TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOO/BODY PIERCING 0 POOLISPA ❑LAND USE APPLICATION SITES <br /> CI MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:0OPM - 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 /> .ly <br /> fl <br /> EHD 48.06 B/04I0s PUBLIC RECORDS RELEASE APP FORM <br />