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3 <br /> DATE RECEIVED �.. SAN JOAQUIN COUNTY `..f EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ly 600 East Main Street, Stockton, CA 95202-3029 <br /> ,7 PphOne: (209)468-3420 Fax: (209)464-0138 Web:wwvv,sjgov.org1 p <br /> _ PUBLIC RECORDS RELEASE APPLICATION <br /> APP <br /> LN�I�n�� dr}t}'jj'6QNHA <br /> BUSINESSIAGENCY: COS, PUBLIC WORKS <br /> ADDRESS: 1465 S LINCOLN ST. , STOCKTON, CA 95207 <br /> PHONE(t): 209-937-7004 PHONE(2): FACSIMILE: 209-937-8883 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Pkaso allow ten business days from data of RPplimtlO-submieal-'Tontative only-mu$t be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Vijay Slnha _ DATE 07/16/2008 <br /> ElectrOnicinfOrmatloW ®List®III-Description: 2007-08 RSTP STREET OVERLAY PROSECT <br /> FILE ADDRESS EHD USE ONLY <br /> p� Street street Name city� ❑unlet II 1. 591 INDUSTRIAL DR STOCKTON Q �� <br /> 2. 4101 AIRPORT WY STOCKTON &5,/h7Il ❑unit z <br /> 3. 4333 AIRPORT WY STOCKTON N ra tP <br /> 4. 4447 AIRPORT WY STOCKTON Unit3 <br /> 6, 4555 AIRPORT WY STOCKTON <br /> S. 1409 HOEING WY NO }7 o P `4 <br /> STOCKTON M d t,,A,ocat'Sr <br /> T, 1422 HOEING WY \? <br /> Unit <br /> STOCKTON MAO 5 _ <br /> e. 4550 AIRPORT WY STOCKTON C <br /> d4""?'V0 c¢/`, o unn 6 <br /> / 9. <br /> V 10. Ute` No sP <br /> 2001 ARCH RD gUnit <br /> Specific Date Range of information Requested:From 01/01/2003 to 06/30/2008 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES L`e� w <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT (' <br /> M OTHER CLEANUP SITE(NON LOP) O FOOD FACILITY D SOLO WASTE FAGLITTNEH CLE <br /> 119 IIAZAFU XZ W STE GENERATOR <br /> ❑DOG KENNEL CI DAIRY TIRE <br /> •HARED PE 5 WASTE DENERATOR O CHICKEN RANCH G DAIRY w' <br /> i®TIERED PERNnYED FACIUTYUC �WASTEWATER TREATMENT PLANT <br /> O TArroomooy PIERCING 0 MOTWHOTEL ❑PUMPER TRUCKrYARDx:HEM TOILETS <br /> MEDICAL WASTE FACILITY ❑POOUSPA 0 LAND USE APPLICATION SITES <br /> OMER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW_MONDAY.FRIDAY 8:00 11M•6:OOVM EXCLUDING HOLIDAYS, <br /> 1. List up W ten addresses in the space above. select the type($)of files from the list above by chocking the appropriate <br /> box(es). At least one file type MUST be selected. Fax o 20 464-0138 or mail-to the abov address. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after s ra g will <br /> 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 <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 the EHD staff may not be Immediately,available for review, A new application <br /> may be 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 some applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> ( F - 7 <br /> A r rc c <br /> eHo u.oe <br /> 7twz <br /> PaeLIC RacoHDS HSLEASE App FDKN <br />