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May 15 07 08:17a DEM 415-707-2038 p.1 <br /> ' DATE RECEIVED • • EHD LOG NUMBER <br /> I SAN JOAQUIN COUNTY <br /> li til ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org d <br /> j PUBLIC RECORDS RELEASE APPLICATIO <br /> ` APPLJCANT � IEL BUSMESS/AGENCY' ALLWEST ENVIRONMENTAL <br /> ADDRESS: 3210 GOUGH STREET #105, SAN FRANCISCO, CA 94123 <br /> 415-240-3205 <br /> PHONE(1): PHONE(1): FACSIMILE: 415-707-2030 <br /> TENTATIVE'APPOINTMENT DATE: <br /> Time: 0700 <br /> (Please allow 10 business days from dale of ap call n submittal••Tentative only-must tK+canfirmetl) <br /> 171 CHECK BOX TO EXPEDITE REVIES - 00 FEE(C SH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FELE ADDRESS EHD USE ONLY <br /> Street a Street Name City C1 Unit 1 <br /> 1, 18800 SPRECKELS ROAD MANTECA v <br /> 2. BETWEEN 32 AND 787 SPRECKELS ROAD (ODD ND.) MANTECA L t}Uy UST�OLD� ❑ Unk2 <br /> 3. Cam n � 51 n <br /> 4. - �unu a )\V <br /> 6. Unit 4 ) <br /> 7 O 8 El unit 5 <br /> 10. -- C1unit 6 <br /> Specific Date Range of Information Requested:From to O ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tA <br /> ERGRDUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT O$DUD WASTE FAOILITYNEHICLE <br /> ERCLEAN UP SITE(NON'LOP) ❑FOOD FACILITY 17)WASTE TIRE <br /> ERGROUND TANK(MONITORING)REMOVAL) ❑ Doo KENNEL ❑ DAIRY <br /> 0.RCOU3 WASTEGENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ED PERMrrrEO FAGLrry ❑ MOTELIHOTEL ❑ PUMPER TRUCK(YARD/CHEM TOILETS <br /> 13 TATT00I800Y PIERCING ❑PDOLISPA ❑ LAND USEArP KATION SITES <br /> O MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS AREAVAILABLE FORREVIEW - MONDAY•FRIDAYE:00 AMS:OOPM - EXCLUDING HOLDAYs. <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 O <br /> box(es). At least one rite type MUST be selected. Fax to(2091484-0138 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(1 D} <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 /> submitted when the file is available. <br /> 4, Any rile 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 4(408 !M13..web <br />