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0 <br /> REGOVE <br /> SAN JOAQUIN COUNTY EHD LOG MER <br /> NOV 15 2010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone; (209)468-3420 Fax: (209)464-0138 Web: www.$)gov.org/e <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVIEEs -PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: nit 1���2 ��1, .� <br /> BUSINESS/AGENCY: Cyd, <br /> ADDRESS; (C1 �.� <br /> CITY/STATE/ZIP: hA q iPHONE(1): n <br /> PHONE(2): 9C)-+ -q TJ` - ')19J FACSIMILE: cr1 <br /> TENTATIVE"APPOINTMENT DATE: -41 5 7d�U <br /> (Please allow 10 business days from dateofappiFcatlonsubmttlal- TW-Vve only <br /> Time: <br /> be: <br /> [:]CHECK BOX 70 EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)- -must be confirmed) <br /> SIGNATURE OF APPLICANT - C� REQUEST PROCESSED IN 3aUSINE58 DAYS <br /> --n DATEI I �� <br /> Electronic Information; ❑List❑Map-Description: <br /> FILE ADDRESS <br /> SVeet tl EHgUg)r <br /> Street Name City "; p. <br /> ONLY <br /> l_` Unit1 <br /> f t - - - - <br /> a <br /> 3' nit2 <br /> 4. <br /> 5' Unit 3 <br /> 6. <br /> 7. ( �S I <br /> vuZ Unit <br /> 8. q NO y <br /> 9. kpUnit 5 <br /> 10. <br /> Specific Dale Range of Information Requested: From LLUnit 6 <br /> r-�,l� ENVIRONMENTAL HEALTH DE ARTM ENT FILES <br /> [:'Uto <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) Df(OUSINGASATEMENT ^� C,1193 r <br /> Ca'OTHER CLEANUP SITE(NON-LOP) [`'FOOD FACILITY I-T,OUD WASTE FACIUTYNEMCLE ! C /iV/ <br /> DQNDERGROUND TANK(MONITORING/REMOVALJr,� [5'60G KENNEL RYE TIRE Iw_J <br /> [HAZARDOUS WASTE GENERATORS �L/� [a.CHICKEN RANCH - " I 4 F_-8,' <br /> OTIEREv�D PERMITTED FACILITYK./ ,(WASTEWATER TREATMENT PLANT 11-17-10 <br /> "," <br /> Ci�TATT00/BODY PIERCING ERCING []'PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> 9 dEDICAL WASTE FACILITY ❑POOUSPA DLAND USE APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List u0 to ten addresses In the space above. Select the type(s)of riles from the list above by checkln the appropriate <br /> boiii At least one file type MUST be selected. Fax to 209)464.0138 or mail fn the atldress indFcated aboe <br /> ranges will not be accepted-for next <br /> business <br /> assistance with fele 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 a$released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> 7-z - . USE ONLY <br /> 07rv10 <br /> Zd 088L-L6S-914 eoi6oloe0 d89;Z0 Ol Sl ADN <br />