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04/`04/99//2010x,\`'�,I�//70��19:x'44 9257499 AEI CONSULTANT PAGE 01/01 <br /> ���/W" "- SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> APP? 0 .4 1010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENT HEAaldphone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgOV.Drgleh0 <br /> PERMIT/SERViCUtS � (ticPUBLIC RECORDS RELEASE APPLICATION / r� <br /> APPLICANT: Kjrob yh � 13USINESSIAGENCY: hEl <br /> ADDRESS: 25� C6C j�l�b�o CITYISTATEIZIP: k'hI12 Uf <br /> PHONE(1): Z PHONE(2): 1d 5bo—"V l 2 <br /> FACSIMILE:���� <br /> TENTATIv 'APPOINTMEN ATE: Time: <br /> (Please allow 10 business days from date of application submittal''Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEOTTE REQUEST-$115 F SH OR CHECK O_N_LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE H R 20/ c7� <br /> Electronlc Information: ❑List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street A Street Nome City ❑Unit 1 <br /> 1• 21(a NoY 11 mcv n Ce r vLt i Nc Na Co 5 <br /> 2. 12 Norfil Mal Yl S'>r'2.L+ ' '� t LO/5P <br /> nit 2 <br /> 3. ZZ (P _ Nor*i-,,��f1Y-1Gun Si7rt+ Gyr,j 105, cv/5 1n �i tl+ <br /> 4. 232 NOr+�-a I„CLt rU �i 3 GP Unt3 <br /> s. 23 N6.� �S'}o�K _2 actA _ N, o s <br /> 0. ) 2C7 �pSf Lockt d ar #- P1er^b . N �T unit4 <br /> 7. NC)r+t'T Stttaf-A No GO/] <br /> B• 0-- NDrl i 1 Sc/h�o l s�. L4ct,i Z' N a c0 ❑unit s <br /> s. <br /> 10. <br /> nit 6 <br /> Specific Date Range of leformotion Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ����/ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) LJ HOUSING ABATEMENT [9 SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) [3 FOOD FACILITY ®WASTETIRE <br /> UNOERGROUND TANK(MONiTORINGIREMOVAL)4, ❑Doc KENNEL DAIRY 0,1 �3-0 <br /> HAZARDOUS WASTE GENERATOR L1 CHICKEN RANCHn�yWASTEWATER TREATMENT PLANT y1I 5/1D <br /> TIERED PERMITTED FACILITY [3MOTEUHOTEL �r--77 PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TATTOOIBOOY PIERCING ❑POOUSPA D LAND USE APPLICATION SITES <br /> ® MEDICAL WASTE FACILITY ❑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 un to ten addr€sses 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. Eax_to[209)04201IR gr 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 ba 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Plane Martinez,at(209)468-3425. <br /> SHO use ONLY <br /> n 13 5 A CO 1 <br /> EHD 4&06 612/!09 <br />