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12-15-'08 15:56 FROM- T-48y 1'00111501 <br /> EHD LOU NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNT( *411011110TE-2(IYDD <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 / <br /> 2008 Telephone: (209)468.3420 Fax: (209)464-0138 Web:www.sjgov.oqENVIRONIOENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Elizadetii EmmOnS BUSINESSIAGENCY: G0010giwi Technics Inc. <br /> ADDRESS: 1101 7th Street Modesto CA 95354 (209)522-4227 <br /> PHONE(1):(209)522-4119 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from <br /> Ldate of application submittal-"Tanfallve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST•E�7ltf�j!-EE(C SH, �ORCH K ONLY)-�REEQQUEES�T PROCESSED IN 3 B SIN SS DAYS ' ' . . <br /> SIGNATURE OF APPLICANT (Y/J)G(Y/Oi l �J u i�DATE <br /> Electronic Information: 0 List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 1t street Name City ❑ Unit 1 <br /> 1- 3932 Budweiser Court Stockton Sloe Z <br /> 1 ❑ Unil2 <br /> $. /L <br /> Unit 3 <br /> 4. <br /> 5. <br /> Unit 4 <br /> L76- <br /> Unit S <br /> Units <br /> Specific Date Range of Information Requested: From to <br /> �/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> OI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 11 SOLID WASTE FACILITYNEHICLE <br /> '^O �I'r ,/Y�J�/yTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0WASTE TIRE j r/r <br /> Ix NDERGROUNO TANK(MONITORINGIREMOVAL)9L C3 DOD KENNEL 0 DAIRY <br /> HAZARDOUSS WASTE GENERATOk C1 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEJHOTEL G PUMPER TRUCKIYAROICHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 173 MEOICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FINDAY 8:00 AM•5:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 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(1o) <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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EKD 4846 WER SWO07 <br />