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10/18/2007 TBU 14;36 FAX 20W82999 SJC PUBLIC WORKS 40 2002/002 <br /> DATE RECEIVED EHO LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME3ov4d <br /> 600 East Main Street, Stockton,CA 95202-302 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s <br /> !;7 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> i; <br /> r APPLICANT:_Mark Hopkins BUSINE$$1AGENCY: SJC Public Works <br /> ADDRESS:_1810 E.Haze@on Avo. <br /> PHONE(1):_468.3085 PHONE(2): 3D`f -OV l' FACSIMILE:_458-2999 <br /> TENTATIVE'APPOINTMENT DATE: Nov.2,2007 Tima: 1:15 PM <br /> (Please allow 10 business days from date of application submittal-•TerrtaGve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 98.00 E(CCASki O_R CC ECK ONLY).REQUEST PROCESSED INS BUSINESS DAYS <br /> )ILSIGNATURE OF APPLICANT �/9 date ti ) DATE <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street if Street Name city ❑ unit 1 <br /> 01 <br /> 2. G , a Unit2 <br /> 3. c-v R& LAN <br /> 4. F — t)JV. 'L u ) n7t 3 <br /> 5• - O d N <br /> 01c- -" S IL. S (Ato ) L)/y SC°0rtt5'( � nit4 <br /> 7. 1551e L)'4`r t� ❑ Unit5 <br /> / 81100 ` L b tLYAK ' Q cl T <br /> 9. 3d _Vlo ❑ units <br /> 10. RL viaka T 2 <br /> \ Speck Date Range of Information Requested:From to <br /> \\� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> \ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT r3 SOLID WASTE FACIL"[VEHICLE <br /> 9OTHER CLEANUP SITE(NON.LOP) ❑FOOD FACILITY E3WAm TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL O DAIRY <br /> �( <br /> ; HAZARDOus WASTE GENERATOR 11 CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> C3 TIERED PERMITTED FAOLTIY ❑MOTELJHOTEL I7 PUMPER TRUCKJYARDICHEM TOILE" <br /> ❑TATTOOMODY PIERCING ❑POOLISPA LAND UsE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 9:00 AM-5'OOPM -EXCLUDING HOLIDAYS. <br /> 1. Ust 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 addldonal 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 he reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> ENoasae WEB ersavDT b W �2 0� �� J��` � mT - ,�\ <br />