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01/27/2011 12: 25 2093603 LODI DOWNSTAIR4 PAGE 02/02 <br /> EVE�,y <br /> `® SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT ��� <br /> IAN 2 8 2011 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (2.09)464-0138 Web: wwN.sjgoV.org/ehd <br /> ENVIMMELTH <br /> SERVICES <br /> PER <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tina Cheney BUSINESS/AGENCY: <br /> ADDRESS: 902 Industrial Way City/StlutIZIP -[&L-CA 95240 <br /> PHONE(1): 209-747'0640 PHONE(2): FACSIMILE: ,-9- 33-E3O3 <br /> TENTATIVE*APPOINTMENT DATE: Please call Time: <br /> (Pleaso allow 10 business days from date of application submittal•"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST•$105 FETE(CASH OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ _ DATE 1-28-11 <br /> Electronic Information: C] List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# _ Street Name _ city <br /> 1• 4051 Newton Road Stockton N unit, <br /> _ c <br /> -2• 3931 Newton Road Stockton 065f QgffnA2 <br /> 3• 4105 N. Wilson Wa.-y ....Stockton Unit <br /> 4. <br /> 5. <br /> Unit 4 <br /> 6. <br /> _ .,, ❑ unit 5 <br /> g• - [] <br /> Unite <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> AliNDF.RGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING AEATFMENT ❑SOLID WASTE FACILITYNEHICLE �/l t5, <br /> OTHER CLEANUP SITE(NON-LOP) �n� ❑FOOD FACILITY ❑WASTE TIRE <br /> y <br /> .AUNOERGROUND TANK(MOWTORINGIREMOVALP DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTEGENERATOq-'� - QCHICKENRANCH 0 WASTEWATER TREATMENT PLANT �. <br /> M TIEREDL l3 PERMITTED FACILITY \ MOTELIHOTEPUMPER TRUCK/YARD/CHEM TOILETS <br /> C TATTOO/BODY PIERCING C3 POOLISPA M LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY M OTHER(PLEPSF,SpeCIPY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW• MONOAW FRIDAY 8:00 AM•5:00M - EXCLUDING HOLIDAYS. <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 a dress indicated ab ve Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will he 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 he reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> / 34 Ak, <br /> EHD 48,013 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />