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10108/2008 17:33 9165E, ,'22 KRAZAN PAGE 02/02 <br />1� C Irl *40 EMD L4v NUMBER <br />SAN JOAQUJN COUNTY <br />OCT 0 8 2008 ENVIRONMENTAL HEAJ,TH DEPARTMENT <br />600 .F).ast Main StrecFax: ,Stockton, CA Web: <br />Nv2 08 +�'� V <br />ENVIRONMENT HEALTH Telephone: (209) 468-3420 Fax: (209) 4C14.013R Web: tnvwsjgov.or 9 // �r <br />PERMIT/SERVICES / <br />PUBLIC RECORDS RELEASE APPLICATION <br />PHONE (1): /1 4:X-4 A265!0 PHONE (2); <br />TENTATIVE' APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal - "Tentative only - must be confirmed) <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # <br />Street Name City I] Unit 1 <br />ERr /%1t/N 5� _ OC a.�1 <br />�T .OY iv S7- S?cGk70' � oz , o/y ❑ unite <br />Unit 3, <br />4 <br />❑ Unit 5 <br />Unit <br />1 <br />2. <br />4. <br />5. <br />6. <br />7. <br />10. <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES 3�ptlj�/j� <br />1.0.UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT XSOLIDwASTE FACIItTYNEHICLE �� 7 1"� 7 Vlh <br />YHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY O WASTE TIRE <br />XT�V`'NDERGROuNO TANK (MONITORING/REMOVAL)K ❑Doo KENNEL ❑DAIRY �f7/f7�lG <br />�FIAIARDOUSWASTR GENERATOR( MCHICKEN RANCH U WASTEWATER TREATMENT PLANT <br />11 TIERED PERMITTED FACILITY © MOTEWHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br />0 TATT0016ODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />M MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELLAND 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 typo(s) of flies from the list above by checking the appropriate <br />box(es). At (east one fire 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 behold 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 now 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 $98.00 deposit prior to review. <br />EHD USE ONLY <br />*** if you should need f rther assistance please contact Diane Martinez @ (209)468-_3425 directly. Thank You*** <br />�1 0 3 <br />