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I03/28/2008 14:28 17753:83 RENO ACCTG PAGE 02 <br /> r \ 1 %IC <br /> � EHD LOG NUMBER <br /> Lf�P SSI "u SAN JOAQUIN COUNTY <br /> �9AK u 2008' ENVIRONMENTAL HEALTH DEPARTMEN3-, 4 <br /> 600 East Main Street,Stockton, CA 95202-3029 <br /> IIINVllt•.11NPAEN( HEAIJH Telephone; (209)468-3420 Fax: (209)464-0138 Wcb: www.sjpEczp,1�T/ ,ERi'lCES PUBLIC RECORDS RELEASE APPLICAI <br /> APPLICANT: S W i 4 4 VV I-_• BUSINESSIAGENCY: C Cc-4e <br /> ADDRESS: <br /> PHONE I7): PHONE(2): <br /> FACSIMILE:��� - t - Z��• .'. <br /> TENTATIVE"APPOINTMENT DATE: 4 g— O g time: S V:Cc <br /> �� (Please allow 10 business days"M date of application submittal•"rentatMa only•must be confirmed) <br /> Pl CHECK BOX TO EXPEDITE REQUEST•$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronlc Information: ❑List E] Map-Description: <br /> �l 1 FILE ADDRESS EHD USE 0 LY <br /> D Street Street Name Clry dl .beTs I ❑ unit <br /> /hO41 stY ,i �, r41 A�lt� S'1�ck`sM+`r <br /> —T <br /> $"�O El umtz <br /> 3-0'+�'$,?>_� ^rte '+► <br /> 5' <br /> 4. <br /> 5. <br /> unit \ � <br /> T• ❑ unit \ <br /> a. <br /> )• ❑ Unit B <br /> Specific Data Range of Information Requested:From ,- l i I(V 14 to Y I,S 11Y � _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES e(e <br /> `XUNDEROROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT E3 SOLID WASTE FACILIYYIVEHICLE <br /> OTHER CLEANUP 917E(NON-LOP) M FOOD FACILITY O WASTE TIRE <br /> yyUNDERGROUND TANK(MONITORINGIREMOVAL)0(, ❑DOG KENNEL ❑DAIRY <br /> pHAZARDOUS WASTE GENERATOR N ❑CHICKEN RANCH CI WASTEWATER TREATMENT PLANT ((DODO <br /> 173 TIERED PERMITTED FACILITY ❑MOTELIHOTEL C]PUMPER TRucKIYARDICHEM Toftvs <br /> ❑TATTOO/000Y PIERCING 0 POOLISPA ❑LANA USE APPLICATION SITES IV_A�/✓I <br /> MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RWM•MONDAY-FRIDAY 8:00 AM•S:OOPM EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the typa(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4640138 or mail to the dress Indicated above.. Address <br /> ranges will not be accepted-for additional assistance with fila addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> R. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days atter receipt of application. The flas will be held fora 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 END 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 /> ENa use wee NAawT <br />