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02/03/2011 23: 27 8662' x,06 SIERRA INS & I SUS PAGE 02/E12 <br /> EHD LOG NUMBER <br /> D lI I ��.n`,� SAN JOAQUIN COUNTY �-, <br /> ENVIRONMENTAL HEALTH (DEPARTMENT <br /> 0 4 '2011 600 ast Main St. Stockton, CA 95202-3029 G�} <br /> Telephone- (209)46.8-3-420 Fax, (209)464-0138 Web: www.sjgov.org/ehd / <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:John McCann BUSINESS/AGENCY:John McCann <br /> ADDRESS: PO Box 2212 . CITYISTATE/ZIP:Lodi,CA 95241 <br /> PHONE(1): 209-339-1825 PHONE (2),209-406-0427 FACSIMILE:866-264.4606 <br /> TENTATIVE*APPOINTMENT DATE: 2/1412011 Time: loam <br /> (Please allow 10 business days from date of application submittal-"Tenfavve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES $f 2 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS BAYS <br /> SIGNATURE OF APPLICANT DATE b-4,0 <br /> Electronic Information: Wst D Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City El Unit 1 <br /> 1. 8203 East Hwy 26 � linden ��j I i� %�- 0(.VI <br /> []Unit 2 <br /> 2 <br /> 3• Unit 3 1 <br /> 4. <br /> 6 _ unit 4 <br /> 7. <br /> 8. _ ❑units <br /> 9. /c <br /> 10. ❑ urt�t 6 <br /> Specific date Range of Infonnatlon Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES jj (Li <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILrTYNEHICLE I , <br /> (�OTHER CLEANUP SrrE(NON-LOP) ❑FOon FACILITY D WASTE TIRE <br /> ®UNDERGROUND TANK(MONCtORINGIREMOvAt) D DOG KENNEL ❑DAIRY t�W <br /> IN HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT_11r <br /> M TIERED PERMITTED FACILITY ❑MOTEL(HOTEL ❑PUMPER I RucKIYARoICHEMICAL TOILM <br /> n TATTOOIBODY PIPRCING ❑POOLISPA [)LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REv1Ew: MONDAY-FRIDAY 8:00 AM-6:00Pm(EXCLUDING HOLIDAY$) <br /> 1. List up to ben addre:rsQs in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> indica bove. Address <br /> box(es), At least one file type MUST be selected. Fax to(209)464 0138 pr trail to tk �stdL��S $�— <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD, Applications received after <br /> 3:00 ptrl will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exiet. An appointment for review will be confirmed approximately tell (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 avallable. <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$122 depoelt prior to review. <br /> END USE ONLY <br /> -T <br /> -_.-.-_ o7r200 <br /> SMD 46-06 <br />