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From:Marcus H. Bole & Associates 530+633+0119 05/18/2012 10:22 #239 P.001 <br /> /D'A�T �rtE ® SAN JOAQUIN COUNTY EHD P <br /> j 1E3 VV LL ENVIRONMENTAL HEALTH DEPARTMENT <br /> v.0 1 g 2012 600 East Main Street,Stockton, CA 95202-3029 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd(RortnAENs NCESLT►� PUBLIC RECORDS RELEASE APPLICATION <br /> P <br /> APPLICANT; LZ It le BUSINESSIAGENCY: e-11• o1c 1 <br /> ADDRESS: 104{� ?� U CltylSttaatee/Zip /�(Bwti<�q� C/T • <br /> PHONE(1): V 3 -D �}PHONE(2): p.30 ! I•{—f,/Oa3 CG) FACSIMILE: .S'JD <br /> TENTATIVE`APPOINTMENT DATE: T� DA'N MH ��IFMM�SI�I[ Tlma: <br /> (Please allow 10 business days from data of application subrentathB only•must be confirmed) <br /> CHECK BOX TO EXPEDITE REQ T•5705 FEEJCC <br /> AS-H OR CHECK ONLY)-REQUEST PROCESSED IN 3 SYSIMES§I DAYS <br /> SIGNATURE OF APPLICANT DATE Z <br /> Electronic Information: []List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> /IIS Street# city <br /> Namighlgr cl <br /> q101 5 ,1 � '°^ •�{/r�,/J <br /> 2. ( '� D2% �7 n <br /> 3. 3 njN <br /> 4. N Unit 3 <br /> 5. <br /> s. ( 6 A)ol <br /> " (p yypKa 3 <br /> T• (!G o S N p 1�'/ <br /> ❑ Unit 5 <br /> 8 N <br /> 9. <br /> Unit 6 <br /> 10. - <br /> Specific Date Range of Information Requested:From 4 FI L &*t- to 1 �1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ApA((�S�O�LID WASTE FACIUTYNEHICLE UPI <br /> OTHER CLEANUP S 'S(NON-LOP) 13 FOOD FACILITY AWASTE TIRE �J^ I <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) � 0 DOG KENNEL 0 DAIRY tet/ <br /> HA2ARDOUS WASTE GENERATOR M CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY OMOTELIHOTEL O PUMPER TRUCKNARD/CHEM TOILETS <br /> O TATTOOIBODY PIERCING 0POOLISPA ❑ #USE APPLICATION SITES <br /> .11 MEDICAL WASTE FACILITY tv OTHER(PLEASE SPECI")j�AtI W:.;-n <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW•MONDAY-FRIDAY 8:00 AM-5:0 • EXCLUDING HOUDAYS. <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(209)464-0138 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:DO 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 Hiles 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 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 S ONLY <br /> 5 S 5 � a <br /> EHD 6 B/04/GB 5 ✓I�IZ : P(©lr I '�`✓r� Q v 1 (.•��✓I/' J VCJS / 5(40 <br /> for +toot' EI DAdo. uw,vlv(arTt Co€035D47i5 .n films for ios l Sperry • LomPyA�), tks <br /> Ct�f70X7�p5) (A $I5, (pp0)994(� , d 1f190=sra4l nry FH.IL In- Cli �tJ�y /OO/1• 1te <br />