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From:klarcus H. Bole & Associates 530+633+0119 05/18/2012 10:22 #239 P.001 <br /> p DATEE ® SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> �� LL ENVIRONMENTAL HEALTH DEPARTMENT n <br /> 600 East Main Street,Stockton, CA 95202-3029 \� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ENt)IRONMENSRVCE LTN PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT (1L le BUSINESS/AGENCY- ci- <br /> ADDRESS: 0 G 12f- (,- City/State/Zip �i.p.tf(� C <br /> PHONE(1): V 3 _6 PHONE(2): G30 ( �S —{�p�3�Z FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: 11-94,0AY WY R�'Ir YY. lie Tlme:&Z FIM E <br /> (Please allow 10 business days from date of application submittal `Tentaum only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.$105 FEE CAS OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT �.� - DATE <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> V- street Street Name City <br /> V 1 Iv . A h 5 N �� Ir3w� <br /> 2- <br /> ME <br /> . �• 'T az S n . <br /> 3. 3 N <br /> 4. C150t/ Unit 3 <br /> /V �z r �l� <br /> 6. L _ T <br /> 6. ,)m m-ne k4 <br /> WICK <br /> 7. <br /> �1- 00kf7 S N <br /> 6. ❑ UnitS <br /> N. -, <br /> 9. <br /> 10. 1 <br /> units <br /> Specific Date Range of Information Requested:From 14 Y Fj 195 AA5't- to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES vJJ 1 <br /> UNDERGROUNO TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT J&A(,�S��O'LID WASTE FACIDTYIVEHICLE \�A <br /> 16 OTHER CLEANUP SITE(NON-LOP) ,,J� ❑FOOD FACILITY AYVASTE TIRE up(11, <br /> IQ UNDERGROUND TANK(MONITORINGIREMOVAL)y ❑DOG KENNEL ❑DAIRY ll^ <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL O PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOO/BODY PIERCING ❑POOLISPA ❑ ND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY F OTHER(PLEASE SPECIFY)Iii If-((/Sf/d H(IJ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-5:OOPM - 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(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 /> 3:00 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 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 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 YSk ONLY <br /> END 6 8104/08 5'3 F a : Pro vtd CiApt. a S p� �p15(Q60-. <br /> Foy 400y EI 0 d 0. WMP'At li 4COM361)01 In I+w fTle, for los l <br /> I to Y15. / <br />