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SAN dOAQUiN COUNTY 08/12/20009� ��'_'9 nnLy``08:23 9252741103 ARCADIS #0504 P. 002/003 <br /> �)��LL11�2�u <br /> n etIlr�llu EHD LOG NUMBER <br /> � <br /> pUG <br /> 12 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1%4 3 <br /> VIEW r <br /> 600 East Main St_ Stockton, CA 95202-2708 (/l <br /> 209)464-0138 Web: <br /> ENTISERVICESol %IephPUBLIC RECORDS RELEASE APPLICATION <br /> ( /ehd <br /> APPLICANT: Leaah Neary BUSINESS/AGENCY: <br /> ADDRESS: /�Q33 Nor-Ph Mfdin StrraSk.34D CITYISTATE(ZIP: A)Vnut CrYeAcl CA 9 596 <br /> PHONE(1): 1l`,/[��9/�5 Sell/ PHONE(2;.- FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: B�I�,�Cbq Time: 10-'06 AM <br /> (Please allow 10 business days from date or appli w submittal-'Tentadve only•must be carfimud <br /> JR CHECK BOX TO EXPEDITE REQUEST-$115.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU =71 SIGNATURE OF APPLICANT DATE 8 <br /> Electronic Information: ❑ ListRMap—Description: RAQdC R <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name.. -.. City ❑Unil1 <br /> 2. 345 N. DSrM rr SrA Soo ra - nit <br /> �I/ 3 !S EMCAV S 1vcK E <br /> b, d _13o S <br /> 5 Frz J r S c <br /> 6 SLI C-Zrrr�I t4 <br /> 7. � >� „Olt <br /> a- 40 _ ,. .N.SAI-i :455 C ❑Units <br /> 9• . S7 DUG 7 k 10. /U. Scl,-k a s e vl o nits <br /> Specific Date Range of Information Requested: From l$$-D to . gQ29 AL <br /> rrr�ggy ENVIRONMENTAL HEALTH DEPARTMENT FILES (� <br /> UNDERGROUND TANK(UST)CLEANUP SIZE(LOP) ❑HOUSING ABATEMENT 91 SOLID WASTE FACILiTYNEtu <br /> OTHER CLEANUP SITE(NON-LOP) red ❑FWD FACILITY � M.WAS(E TIRE a <br /> UNDERGROUND TANK(MowoPjNG/REMOVAL)y ❑OPA <br /> , "- ❑DAIRYum <br /> UNDERGROUND <br /> t®ry�HAZARDous WASMGENERATORo(• ❑C `. MWASTEWATEiTREATMEw PLANT <br /> Lr.Y TIERED PElOATTED FACILTfYO( ❑ML �PUMPERTRUCI(IYARDICHEAiICAL TOIL <br /> ❑TATTOOIBODY PIERCNG ❑P Al LAND USEAPPt1CATI0N SITES <br /> ❑ MEDICAL WASTE FACILTTY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 5:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1_ List up to ten addresses in the space above. Select the typ0(S)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4640138 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(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. Afile 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$115.00 deposit prior to review. <br /> EItDusea y <br /> '""If ou [teed further assistance please contact Diane Martina a (2093425 directly. Thank You' <br /> )468- <br /> 3 <br /> E10 <br /> r/31rA1p9 <br />