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Oct 27 OS 08:39a Andrew Lush 916 SS2-2703 P.1 <br />DATE RECEIVED %kw 'Werra EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />Ow •,� ENVIRONMENTAL HEALTH DEPARTMENT 20,5q? <br />vim'"304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />r� PUBLIC RECORDS RELEASE APPLICATION0050CT 27 AM 9:27 <br />APPLICANT: I^-�1]. tick fwJ LL+SN BUSINESSIAGENCY: <br />ADDRESS: /\Ltd.] L- uki RID HEhL7 1 AL <br />PHONE (1): (1110) 6)0 — 45 38o PHONE (2):10 ' ( FACSIMILE: 14:03 <br />TENTATIVE' APPOINTMENT DATE: Time: <br />(Please allow 10 business dap from date of application submittal--Tenfaffm only - must be eonli med) <br />13 CHECK BOX TO EXPEDITE REQUEST - 00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS L <br />SIGNATURE OF APPLICANT„��G,. F�/f% DATE /U197 1d; <br />UNIT DISTRIBUTION <br />OUnit 1 ❑ Unit 2 A#45nft3 UnN4 OUnItS 0 Untie r3 Other(almtronlcnists/maps) <br />to PJ.,EJ EAti <br />Street! <br />FILE ADDRESS EHD USE ONLY <br />street Name CRY <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />2 <br />0 SOUR WASTE FAcu YrV <br />3. <br />QfOTHER CLEANUP SITE (WON -LOP) <br />4. <br />0WASTE TIRE <br />S. <br />M UNDERGROUND TANK(MOMTORINGIREMOVAL) <br />6. <br />13 DAIRY <br />7. <br />ra HAZARDOUS WASTE GENERATOR <br />8. <br />O WASTEWATER TREATMENTPLANT <br />0 TIERED PERMITTED FACILITY <br />10. <br />0 PUMPER TRUCK/YARDfCHEM TOILETS <br />Specific Date Range of information Requested: <br />From <br />to PJ.,EJ EAti <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT FILES <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />11 HOUSING ABATEMENT <br />0 SOUR WASTE FAcu YrV <br />QfOTHER CLEANUP SITE (WON -LOP) <br />13FOOD FACILITY <br />0WASTE TIRE <br />M UNDERGROUND TANK(MOMTORINGIREMOVAL) <br />ElDOG KENNEL <br />13 DAIRY <br />ra HAZARDOUS WASTE GENERATOR <br />13 CHICKEN RANCH <br />O WASTEWATER TREATMENTPLANT <br />0 TIERED PERMITTED FACILITY <br />0 MOTELJHOTEL <br />0 PUMPER TRUCK/YARDfCHEM TOILETS <br />0 TATTOo/BODY PIERCING <br />0 POOLISPA <br />0 LAND USE APPUCATIOV SITES <br />0 MEDICAL WASTE FACILITY <br />0 OTHER (PL EASE SPECIFY) <br />WELL ANDSEPRC PERARTRECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM -5:00M - E%CWMNG 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 <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <br />Indicated above. Address ranges will not be accepted -for additional assistance with file addresses, contact <br />the EHD- Applications received after 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 <br />approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br />days for review. Appointments 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 <br />application 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 <br />appucanL ruture The reviews Dy me same applicant may require a xyo.vv ueposn prior to review. <br />H <br />