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5 EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N 4 600 East Main St. Stockton CA 95202-3029 �Oqq <br /> jfioohone: (209)468-3420 rax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> �.Ma�N��sEAv�cEs PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: �yeN �t�� BUSINESS/AGENCY: <br /> ADDRESS: C CITYISTATEIZIP: <br /> PHONE(1): AK, - 0-.3b PHONE(2): FACSIMILE:(�tb� ego-0(00.3 <br /> TENTH IVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 businass days from date of application submittal-`Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-,4122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT. — DATE I <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streat# Street Name City <br /> �i 3 /F9 <br /> 144 2. 40o S. �ir�f� — lt2 <br /> n <br /> 3. <br /> O 4• -tS nit 8 <br /> s. b31.�I <br /> U Unit 4 <br /> 7. <br /> Unit S <br /> a. <br /> 10. <br /> it B <br /> Specific Data Range of Information Requested: From kloo to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Ej.JNIDFROROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT S.PLID WASTE FACILfTYNEHICLE 1 f I Y V <br /> ADERGROUND <br /> HER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY STE TIRE TANK(MON ITORINGMEMOVAL)Y ❑DOG KENNEL RY <br /> ARDOUS WASTE GENERATOR �C ❑CHICKEN RANCH �STEWATER TREATMENT PLANT <br /> TIERED PERMrrTEO FACILITY ,❑,�W�TEUHOTEL LIMPER TRUC&ARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING L-d-PoOLlSPA ❑LAND USE APPLICATION SITES <br /> �VIEDICAL WASTE FACILITY ❑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 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)484-0138 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 i9 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$122 deposit prior to review. <br /> END USF ONLY <br /> (03k L4 I <br /> ( d <br /> u (p D <br /> e►IDe8-06 <br /> co OD -3b , L- orna��a <br /> 100/10019 XV] BE OL LLOZ/trL/90 <br />