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DATE RECEIVED EHD LOG NUMBER <br /> ECHR/ <br /> E�� SAN JOAQUIN COUNTY <br /> IJ 11 LL ENVIRONMENTAL HEALTH DEPARTI'[F,NT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> FF_B 1 1 2008 Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgrn'.or d <br /> EN'v`lPIU�\JMlEVT H.E 16LTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Z � <br /> APPLICANT: Maryellen Laumbach BUSINESWAGENCY: Attorney <br /> ADDRESS:___P.O,' Box 13398 Sacramento, CA 95813/1012 - 19th St. , Sacramento, <br /> PHONE(1): (9 1 6) 447-9433 PHONE(2): FACSIMILE: ( 9 1 6) 9 71—R4?5814 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST•$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/8/08 <br /> Electronic Information: ❑ List ap—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street it Street Name City ❑ Unit 1 <br /> 1. 16 East Harding Way Stockton <br /> 2. <br /> _ ❑ Unit 2 <br /> 3. <br /> Unit 3 <br /> (i Unit 4 <br /> 7. <br /> $ — - ❑ Unit 5 <br /> 9. <br /> - - - -- --- ❑ <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From 2/25/08 to 3/7/08 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IX UNDERGROUND TANK(UST)CLEANUP SITE(LOP)I ❑ HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) M FOOD FACILITY ❑WASTE TIRE <br /> ,UNDERGROUND TANK(MONITORING/REMOVAL)'. ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑ MOTEIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOolBODY PIERCING ❑ POOLISPA ❑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-6:OOPtn - 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 /> submifted 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 /> 2-(1-,N - <br /> EHD 48-06 WEB 8!812007 <br /> T d Xdd IACNASHd dH Cb :ZT BOOz 80 gad <br />