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04/18/2013 21 :44 FAX 001/001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ///���304 East Weber Avenue, 3`dFloor, Stockton, CA 95202-270891 :5 <br /> k L007 Telephone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ d <br /> a h-r';-I ri PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: r BUSIINEESSIAGENCY; r(,... ]I r✓- Iai �nL <br /> ADDRESS:X4.3 !Yl � '�nI Au{* JRs r-w..r�li � 7 C/4 <br /> PHONEII): g11n q'$n 07„6-7 PHONE(2): 0)1LI '71 M FACSIMILE: n1110 44,0 bl-0 3 <br /> TENTATIVE'APPOINTMENT DATE: 5I LcJ�O 7 Time: IQ66 <br /> (Pleasa allow 10 business days from dat�f app kation submittal-'Tentative omy-must be confirmed) <br /> Cl CHECK BOX TO EXPEDITE REQUEST-$86.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Z) ' .=) I DATE S I o <br /> Electronic Information: ❑ List©Map-Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street t) Stlaott N11a��mB City Q unit <br /> 1. -~-' C'+ (OLD) <br /> IA� <br /> A, 4. l a W,LL{ 11 w Si'. _ uST (OLA) vv ❑ una2 <br /> 3. 11 est <br /> URB a <br /> 4, i 13 1 I o Dr. ttsT of �� JV <br /> 5' C n � I Rive _ Una4 <br /> usr <br /> T' ❑ unit 6 1 <br /> 9. Unit 6 0 <br /> 1� 10. 41 <br /> Spetiflc Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 1 <br /> ltd UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 19 SOLO WASTE FACILITY/VEHICLE <br /> 19 OTHER CLEANUP SITE(NON-LOP) EI FOOD FACILITY D WASTE TIRE <br /> y9 UNDERGROUND TANK(MONRORINGMEMOVAL) DDOG KENNEL 10 DAIRY <br /> VyI HAzaanous WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 1Y TIERED PERMITTED FACILITY 0 MOTELIHOTEL D PUMPERTRucKIYARDICHEMTOILETS <br /> 0 TATT0000m PIERCING 0 POOLJSPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PEFUNT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 A111-6:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the apace above. Select the type(s)of files from the list above by checking the appropriate - <br /> box(as). At least one file type MUST be selected. Fax to(2091464-0133 or mall 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 N any EHD files exist An appointment for review will be confirmed approximately ten(10) 01 <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 /> Futuro File reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> Exo wase +vzaoa <br />