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DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 01 <br /> 600 East Main Street, Stockton, CA 95202-3029 ,L/ <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.$)g400 <br /> / <br /> sm"" <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> RICH <br /> APPLICANT: ARD 6d N.'DtyL,)=C BUSINESS/AGENCY; GN GEO <br /> ADDRESS: _58 ) N W AIM AV _ Cny/state/zip I�� ('10- <br /> PHONE 9S3( L <br /> (1); 'LCA--•y 6$i k- o aQ PHONE(2): Z64. 2( 2 6 b f FACSIMILpE: m-c? <br /> TENTATIVE`APPOINTMENT DATE; ('Z- 0^O Time: RIO <br /> (Please allow 10 buslnese days from data a plication submittal."Tentative Only-must 4e confirmed) <br /> 4 CHECK SOX TO EXPEDITE REQU $105 F C HO ECK 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 /> Street# Street Name <br /> City <br /> y <br /> 1. q tU ah f, k'• I D W ❑ Unit <br /> 2. 1 ( 4k S40C sf. Ave? Nod ,No co/y <br /> El Unit 2 <br /> 1 W 3' E o a `d Ji. z' oUJ 9 <br /> o' 4. ZO $ eS-forLCf0_ k, U7 fez) oe5INJyy'�' ',j'h units <br /> s• yj4A I �[ 5 ,oE5/Noco(yQ Unit4 <br /> - <br /> 8. 337 114A - ES NacL'(hv° ❑ Unit <br /> 9• � L .Js s , , <br /> � 10. Z3d 6L! / n /� p Q unite <br /> ,3TrFa Ate• Uy(O " <br /> Specific Date Range Of Information Requested:From 4a ?IIQ J to prej &A h1Q� <br /> �J/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ./✓�LUNDERORauNO TANK(UST)CLEANUP SITE(LOP) O NT 171HOUSING ABATEMENT SOLID WASTE FACILTY/VEHICLS <br /> .n OTHER CLEANUP SITE(NON-LOP) rl FOOD FAciuTY O WASTETIRE <br /> UNDERGROUND TANK(MONITORINWREMOVAL)pr Cl DOG KENNEL 0 DAIRY <br /> �W_HATARDOUS WASTE GENERATORN Cl CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> ❑TATTOOPBooy PI PERMITTED FACILITY 0MOTELIHOTEL 13 PUMPER TRUCKIYARDICHEM TOILETS <br /> L' TATTOO/BODY PIERCING ❑POOUSPA ❑LANG USE APPLICATION SITES <br /> EJ MEDICAL WASTE FACILITY ©OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8;00 AM+5:00PM - EXCLUDING HOUOAYs. <br /> 1. List up to tan 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 209 454.0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day, <br /> 2. The END will notify the applicant if any END 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 /> S. 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> END USE ONLY <br /> 5 <br /> - f; <br /> t -Z 5 . Y�J <br /> EHD 46-08-p elOdpB PUBLIC RECORDS RELEASE APP FORM <br /> TO 39tld N0dIJ039N3 96L166960Z TV:TT B00Z/LT/ZT <br />