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rur. APM 11, ZUUr 11 :t�U AM PAGE 2 <br /> DATE RECEIVED 0 0 EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ' � Tamm Woods <br /> APPLICANT:_ _�_ _______BUSINESS/AGENCY:Nell O.—�_--_— SSOC/afeS Inc. <br /> ADDRESS:_902 Industrial Way�Lodi, CA 95240 <br /> PHONE(1): 209-367-3701 _PHONE(2): __FACSIMILE: 209-369-4228 <br /> TENTATIVE"APPOINTMENT DATE: May 1, 2007 Time: 9:00 am <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE April 17, 2007 <br /> UNIT DISTRIBUTION ❑ Unit 1 ❑ Unit 2 ❑ Unit 3 ❑ Unit 4 ❑ Unit 5 ❑ Unit 6 ❑ Other(electronic lists/maps) 1 <br /> \� FILE ADDRESS EHD USE 0L <br /> �`►� Street# Street Name City <br /> / 1. 2067 Michael Avenue Stockton N F F <br /> l/ 2. 2850 Loomis Road Stockton LkS 17 A,HL .v <br /> 3. 2969 Loomis Road Stockton ) ST <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. ti <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> E3 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) to HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VE CLE <br /> El OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> In UNDERGROUND TANK(MONrrORING/REMOVAL) ❑DOG KENNEL ❑ DAIRY <br /> In HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted–for additional assistance with file addresses, contact <br /> the EHD.Applications received after 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 <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application 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 <br /> applicant. Future file reviews by the same applicant may require a$95.00 deposit prior to re/viieew. <br /> EHD 48-06 <br /> 811106 <br />