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0 0 <br /> !T � , _�� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0''., i 2 7 200° 600 East Main St. Stockton, CA 95202-3029 0 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgOV.O d J� <br /> ENViRuiw','IL1% ' fiEALTfi l <br /> P R(d!f1/�F�3Vffl; PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 4 BUSINESS/AGENCY: 'ef'j ee s <br /> ADDRESS: _5q�Lj Avg. CITYISTATEIZIP: l CA 95al <br /> PHONE(1): 9)6 Vqo 02.2,`73 PHONE(2): FACSIMILE:. f(jh 6(50 p(�j <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from data of application submittal-"Tentative only.must be contirmody <br /> ❑CHECK BOX TO EXPEDITE RE EST-$)I$FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I a 1 n9 <br /> Electronic Information: ❑Llst❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street NameCity Unit <br /> 1 Spr -l' Ave-2. <br /> r e W 0�5 uo 5, <br /> 3. <br /> nil 2. <br /> 4. nk3 \ - <br /> !S. <br /> 8. <br /> nit 4 <br /> 7. <br /> 8. <br /> _. ❑Unit s <br /> 9. <br /> 10. mk 8 <br /> Specific Date Range of Information Requested: From to <br /> ,,,���ppp ENVIRONMENTAL HEALTH DEPARTMENT FILES ���,,,}}} <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYN£HICLE <br /> OTHER CLEANUP SITE(NON•LOP) (y El FOOD FACILITY WASTE TIRE z <br /> NDERGROUND TANK(MDNRORINGIREMOVAL)y\ ❑DOG KENNEL kDJAIRY j�J <br /> AZARDOUS WASTE GENERATORa CHICKEN RANCH ASTEWATER TREATMENT PLANTTIERED PERMITTED FACILITY„/ ❑MOTELIHOTEL MPER TRUCKIYARDICHEMICAL TOILETS Tv <br /> ❑TATTODIBODY PIERCING VI ❑POOLISPA ND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑DIHER(PLEASE SPECIFY) 7 l <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAY B:00 AM-5:00PM(ExCLUDINO HOLIDAYS) <br /> 1. List up to ten addreases In the space above. Select the types)of flies from the list above by checking the appropriate <br /> box(es). At least one file 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 fire 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 Bias exlst 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 /> 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$116 deposit prior to review. <br /> S. H you need further assistance,please contact Diane Martinez,at(209)488.3425. <br /> eco use oav <br /> EHD 4046 <br /> e27roc <br /> .00/1000 XYj 12 30 6002/Id/O1 <br />