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' 06/27/2012 08:32 9166486688 ADR _ PAGE 01/011— <br />I j4. `��® SAN JOAQUIN COUNTY EHD LOG NUMBER <br />ENVIRONMENTAL MENTAL HEALTH DEPARTMENT <br />JUN 21 2012 <br />'�ee 600 East Main Street, Stockton, CA 95202-3029 <br />ENVIRONMENTALHFALTHPhone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: >T'cva ft39G <br />22S_3 )}t/c�/ W102-`BUSINESS/AGENCY; AOtZ EtLVItDHNIrNisl H <br />ADDRESS:City/state/Zip Sir C014__h CA—It I"Pa <br />PHONE (1): '70,-'721.000 PHONE (2): FACSIMILE: yld'G9$-66to- <br />TENTATIVE' APPOINTMENT DATE: Time, <br />(Please allow 10 business days from date of appiloahon Submittal - •rentadve only. must be conflrmed) <br />❑ CHECK BOXTO EXPEDITE REQUEST- $105 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 2 BUSINESS DAYS <br />SIGNATURE OFAPPLICANT J41 102plZ DATE 105tt4- <br />Electronic Information: ❑ List ❑ Map - Description <br />FILE ADDRESS <br />Street it Street Name City EH USE ONLY <br />1. 1313 504171 SIDtIZl2H Sr✓rs3/ Lod; <br />2. <br />3, unit <br />4' Unit S <br />5. <br />8. unit 4 <br />8. 1 ❑ Units <br />9. <br />10. ❑ Unit 8 <br />Speclflc Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES j� 61 'Jj j�'_ <br />&UNDERGROUND TANK (UST) CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT M SOLID WASTE FAGLITYfVEHICLE (,� 1 •�--/ <br />Or OTHER CLEANUP SITE (NON -LOP) El FOOD FACILITY ❑WASTE TIRE <br />ad UNDERGROUND TANK(MOMMMNG/REMOVAL) El DOG KENNEL 0DAIRY _q-IZ <br />Ie HAZARDOUS WASTE GENERATOR U^ d CHICKEN RANCH V WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY a- ❑MOTELIHOTEL 4 PUMPER TRUCKfYARD/CHEM TOILETS <br />0 TATTOO/BODY PIERCING O POOL/SPA ❑ LAND USE APPLICATION SITES <br />13 MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECIFY) <br />WGI- AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-6:0OPM - EXCLUDING HOLIDAYS, <br />1, List up to ten addresses in the space above. Select the type($) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax t0 (2091464-0138 or mall to the addressFax tO (2091464-0138 Or mall to the address Indicated 0bOve 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 It 0) <br />days after receipt of application. The files will behold 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 now 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 USE ONLY <br />'l6 <br />e c e i v e d Time—Jur. 27.-2012` 8:21AW-No, 03 <br />