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E006/12/2012 TUE 13: 22 FAX 2094999 SJC Public Works -»» ENV HENH <br /> ■ 171001/001 <br /> ■ <br /> ■■ T�'°� 1\� p <br /> ! 6 EEUB !0 6w® SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUN 1 2Q12 ENVIRONMENTAL HEALTH DEPARTMENT <br /> Telephone: (209)468-3420 Fax: (2 9)464-0138 Web1868 East Hazelton Avenue, Stockton,:www s gov o3g/ ehd � <br /> ENVIRONMENTAL HEALTH <br /> ' PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION 4?7 <br /> APPLICANT:Megan Aguirre BUSINESS/AGENCY:San Joaquin County Public Works <br /> ADDRESS: 1810 East Hazelton Avenue <br /> CITY/STATE/Zip:Stockton, CA 95205 <br /> PHONE(1): (209)468-8494 PHONE(2): FACSIMILE:(209)468-2999 <br /> TENTATIVE`APPOINTMENT DATE: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDI EQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN. 3/BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE �c�Zj,5Q/�. <br /> Electronic Information: ❑ List❑Map—Description: <br /> IFILE ADDRESS EHD USE ONLY <br /> Street# Street Name _ <br /> City El unit 1 <br /> 1•. 3343 E. McAllen Rd. tockton �j / . 0 <br /> 2• 4415 N.Wilson Wy. Stockton <br /> 3. 4429 N.Wilson Wy. Stockton unit2 <br /> 4- 4490 N.Wilson Wy. Stockton <br /> 5• 4350 N. Newton Rd. unie 3 <br /> 6. 4228 Stockton pL NJ 5c�� t <br /> N.Newton Rd. Stockton <br /> �• 4208 N.Newton Rd. <br /> Stockton � I NO �� �• Unna <br /> 8. 4239 N. Newton Rd. Stockton ' <br /> 9• 4343 N.Wilson Wy. Stockton \� LJ UniE5 <br /> 10. I)C cJ✓ <br /> Specific Date Range of information Requested: From lj Un)t 6 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) []HOUSING ABATEMENT <br /> Q SOLIDWA <br /> OTHER CLEANUP SITE(NON-LOP) I]WAST STE FACIUTYNENICLE 3 <br /> Q UNDERGROUND TANK(MONRORINGIREMOVAL � El FOOD FACILITY ❑WASTE TIRE <br /> El DOG KENNEL N DAIRY r <br /> ©HAZARDOUS WASTE GENERATOR,! 0 ❑ f' IZ <br /> O TIERED PERMITTED FACILITYC", CHICKEN RANCH WASTEWATER TREATMENT PLANT��,�j 1iI <br /> ❑MOTELIHOTEL (p <br /> ElTATTOO/BODY PIERCING PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑POOL/SPA <br /> Elp LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OoPM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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(20911464-0138 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(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 END 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$125 deposit prior to review. <br /> • <br /> EHD 48-D6 <br /> alT1H <br /> Received Time Jun. 12. 2012 1 : 16PM ND. 0200 <br />