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DA*efflVE' • SAN JOAQUIN COUNTY 40 EHD LOG NUMBER <br /> NOV 2 0 2006 ENVIRONMENTAL HEALTH. DEPARTMENT <br /> 304 East Weber Avenue, 3`l Floor, Stockton,CA 95202-2708 <br /> ENVIRONMENT HEALTW0011e: (209)468-3420 Fax: (209)464-0138 Web; www.sjgov.org/ehd 4 <br /> PERMITS "CES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Nuura Z)OGa4gry BUSINESS/AGENCY:_E-TIC <br /> ADDRESS: -2.Zr` Alerkin .6iu , ao.fmyf ffi%f- ew <br /> PHONE(1): Y* PHONE(2):,�IT-a50-$V3W, FACSIMILE:_ d-5`40a 177.70 <br /> TENTATIVE"APPOINTMENT DATE: I IO��Dra Time: <br /> (Please allow 10 business days from date o�appllcadon submittal-'Tentative only-must be confirm <br /> 17 CHECK BOX TO EXPEDITE REQUEST-$85.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List(❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroet 0 Street Name City ❑ Una t <br /> 1. Ajb4. �s <br /> 2. 142 v T 5T_ ❑ Unit2 <br /> 3. 51 Ww r3 <br /> Una 3 <br /> 4. -11 e <br /> 5. <br /> I D Una{ \ <br /> 6. <br /> 7. <br /> . ❑ units <br /> g• ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> rr ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> &Z UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSINGASATENENT O SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY C1 WASTE TIRE <br /> UNDERGROUND TANK(MOWTORINGIREMOVAL) O Doc KENNEL O DAIRY <br /> y�7A7ARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 1ERED PERMITTED FACILITY 0 MOTELiHCYEL 0 PUMPER TRUCrJYARD/CHEM TOILETS <br /> •TATTOO/BODY PIERCING O POOL/SPA 13 LAND USE APP}(CATION SITES <br /> •MEDICAL WASTE FACILITY �THER(PLEASE SPECIFY) Wtil rr o <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAYS;00 M-5:OOPM - EXCLUDINGHOLIOAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with Nle 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. 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 EMD staff at the expense of the applicant. <br /> Future rile reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD4 46 WISMW <br /> TO 3917d Hd 9NIa33NI91,13 0113 OZLCZ099Z6T 80:ZT 9002/OZ/TT <br />