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05/20/2008 14 34 FAX ? 001/001 <br /> i �'7 i i�i f� � SAN JOAQUIN COUNTY EHD LOG NVMaER <br /> �� �� �� ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 2 U [008 600 East Main Street, Stockton, 38 Web: <br /> www.sjgco)v.org <br /> �� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org hd <br /> ENVIRO I/Qr T irrHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PER 7i�53J1lCES <br /> APPLICANT: SUSINESWADENCY: <br /> ADDRESS: l h 7/7 7 DLW <br /> 1y ?67'5 <br /> 0 <br /> PHONE i1): `2 lA- 12iu�2 C S PHONE(2):704Ny�(9 - /'51Iy FACSIMILE=ZL)e- <br /> TENTATIVE'APPOINTMENT DATE: _ D' Tim: //:On�ga� <br /> (Plasm allow tan business days from date of application submittal-•Tentadve only-must be BonfimMd) <br /> C3 CHECK BOX TO EXPEDITE REQUrtSSTT-$96.00 FEE ICASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /cZVDATE 5��ir�na <br /> Electronic information: ❑ List❑ Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> street s Street Name City ❑Unn T <br /> 1• 6� l <br /> 2 <6 Z G� 6`J ❑Unit n <br /> 6. It 4 <br /> 7. <br /> S• O Unit 6 <br /> 9. <br /> 10. unit <br /> Specific Date Range of Information Requested: From S&n L1 g m_ 1✓f//.yi��� „ <br /> �/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Rl UNDERGROUND TANK(UST)CLEANUP SITE(LOP) In HOUSING ABATEMENT In SOLID WASTE FACILmrvE14CLE <br /> U 9IHEN CLEANUP SITE(NON-LOP) O FOOD FACuTT C7 WASTE TRE <br /> to UNDERGROUND TANK(MONITOMNGIRPMOVAL) E3 DOG KENNEL ❑ DAIRY <br /> 17 HAZANOOIIa WASTE GENERATOR O CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑MOTELIHOTEL O PUMPER TRUCWYARDIGHEM TOILETS <br /> D TATTO01BODT PIERCING D POOLISPA M LAND USE APPLICATION SITES <br /> C3 MEDICAL WASTE FACIUTY Cl OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FF D Y 9:90 AM-6:00PM - EXCLUDING HOLIDATs. <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 me type MUST be selected. Fax to 12091464-0138 or mail to the above address. Address ranges will <br /> not be accepted-for additional assistance with fila addresses,contact the EHD. Applications received after 3:00 pm will <br /> be processed the next business day. <br /> 2. The END will notify the applicant If any EHD files exist An appointment for review will be confirmed approximately can <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 the END staff may not be Immediately available for review. A new application <br /> may be submitted when the file Is available. <br /> 4. Any file not reb reed In the Same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> Future flls reviews by the same applicant may require a$98.00 deposit prier to review. <br /> EHD USE ONLY <br /> HD 0.M 1 7 PUBLIC R60014135 RELEASE APO PORM <br />