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MAR-19-2010 03:09P FROM:HUANG ')SSOCIATES 916148310268 T^'12094640138 P.111 <br /> DATE RECEIVED -V � EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ��� ��I � ENVIRONMENTAL HEALTH DEPARTMENT <br /> ��JJ 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> 1r�i q 2010 Telephone: (209)468-3420 Fax: (209)464-0138 Web: wwwsjgov.org/ehd <br /> ENVRM 1w:11lT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERP I I.h'kl✓ ." `��/2Yr 4a �// L. BUSINESSSSIAGENCY: k O 7rerA/► Gh <br /> ADDRESS: z WAW 7/4 A' C/T s6 <br /> PHONE(1):�9�G 37�PHONE(2): FACSIMILE: .3 —02.6 <br /> TENTATIVE APPOINTMENT DATE: 2 D Ti '57.'06 A6 <br /> AI <br /> (Please allow 10 business days from date of apple lion submittal-'Tent r;� Ius[ e confirmed) <br /> CHECK BOX TO EXPEDITE REQUES $95.00F E(CASH OR CH y �tl� - ESSED IN 3 BUSINESS DAYS•; •;• •;• .•, <br /> SIGNATURE OF APPLICANT " DATE 3 /d <br /> Electronic Information: [:] List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name & ❑ Unit 7 <br /> 1 / A <br /> ❑ u <br /> 2. D <br /> 3. <br /> Unit 3 <br /> 4. I <br /> 5. e.^. Unit 4 <br /> [7. <br /> AF <br /> ❑ Unit 5 <br /> ❑ Una 6 <br /> Specific Date Range of Information Requested:From to Ckti 2 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES A �1 C� <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICLE r I r3 <br /> 0 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> O UNDERGROUND TANK(MONITORING/REMOVAL) ❑Doo KENNEL ❑ DAIRY <br /> F1AZARDOUS WASTE GENERATOR 0CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEL/HOTEL 0 PUMPER TRUCK.NARD(CMEM TOILETS / <br /> 0 TATTOOIBODY PIERCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 6:00 AM-5:OOPM - 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)464-0136 or mall 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 filo 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> 3_ z-Z-0 : I s <br /> EHD48-0 &IV20M <br />