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From: 08/21 17 17:07 #729 P.001/001 <br /> L(�:'IED N7� 7L�� 2094640138 ENVIRONMENTAL HEALTH PAGE Wei <br /> �k" <br /> -1L�Eb �d EHD LOG NUMBt=R <br /> SAN JOA.QUZN COUNTY <br /> I�U G7 2 `t 2007 ENVIRONMENTAL HEALTH DEPARTMENT <br /> � 600 East Main Street,Stockton,CA 95202 <br /> ENV!ROMNIBE T hEAL,'i'telephone: (209)468.3420 Fax: (209)464-0138 Web: WWw.sjgov.o <br /> PERMII/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION t � <br /> APPLICANT: l r,S I ✓� BUSINESSlAGt:tJCY' <br /> ADDRESS: , .. > > �, 77 /T t'-t. q s_�I / <br /> PHONE(1): <br /> TENTATIVE'APPOINTMENT DATE' Time: <br /> (Plaase allow 10 business days from date of application submittal•`Tentafive only,must be Confirms ` <br /> CHECK BOX TO EXPEDITE REOUES $9 . a FEE( H O CNECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS _q <br /> SIGNATURE OF APPLICANT � DATE �� <br /> Electronic Information: ❑ List❑ Map—Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> 5freet# _ Street Name City U Unit 1 <br /> unit <br /> ILI 71<1) <br /> C <br /> v�— 4 3 _�I�i-G t'�� G ti , U ( r e C>( GL' °Ii Unit 3 <br /> unit a <br /> 2� <br /> `f 2✓� �.t'!•-moi� c-- l��._ �"O wt I � a ftt�r�� <br /> unit 0 <br /> Oil d , <br /> Specific Data Range of information Requested:From to <br /> / Ate— <br /> ENVIRONMENTAL HEALTH DEPARTMENT fFIIAS <br /> �7 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT WASTE FACLI E <br /> /// dk7 ER CLFANUP SITE(NON-LOP) ❑F000 FACILITY TIRE/ \ UNDERGROUNOTANK(MONITORINGIREMOVAL) ❑Do0 KENNEL 15TWE <br /> AIRY <br /> V` \ HAZARDOUS WASTE GENERATOR 0 CHICKEN ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY 0 MOTELIH Q PUMPER TRUCK/YARDICHEM TOILETS <br /> TATToO/EOOY PIEROING 0 POOLISPA ©LAND USE APPLICATION SrMS <br /> �\ C7 MEDICAL VVA5TE FACILITY Q OTHER(PL SE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAaLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5*0DPM - 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(269)464-4138 or mail to the address indicated above Address <br /> ranges will not be accepted—for additional assistance with file addrassas,contact the EHO,Applications received after <br /> 3.00 pm will be processed the next business day. <br /> 2. The FHD will notifythe 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 ba <br /> submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will he roorganiaad 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 />