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11 <br />H <br />DATE RECEIVED <br />M <br />SAN JOAQUIN COUNTY END LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT 01 <br />600 East Main Street, Stockton, CA 95202-3029 T <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjg h aPUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: K elnrcLl (g N Lj20 <br />—BUSINESS/AGENCY! IT U <br />ADDRESS: r o Wi l M Pr chylstaterzip �I Jh �a qru L <br />PHONE(1): PHONE (2): ZO_ a 321 2bbY FACSIMILE -0 <br />R:50 vT <br />TENTATIVE* APPOINTMENT DATE: (Z- O -O Time: 01,50 <br />(Please allow 10 business days from data a plication submittal. "Tantadve only- muaf ba Confirmed) <br />C3 CHECK BOX TO EXPEDITE REQU $105 F C H O ECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 1041';L-09 <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City <br />q / <br />1. _` 'fU eh fk,? • I o W J P ❑ Unit <br />2. <br />! l <br />u !\ S4ockion Sy. Ave? <br />Nodb,N� w/y ❑ Unit z <br />Z� oC0 y <br />3. <br />E D '� `4Jf. <br />4. <br />Z O <br />$ S-(OCI.c FU. {1bt <br />uST�z) oESI,vJ tty •tirfi units <br />s• <br />3 L <br />A I`C <br />5 OES INocofyQ Unit <br />/� <br />�) N ES ND Oiyr ❑ Unit 5 <br />14L <br />9L <br />�A.1' rS <br />1 p❑ Unit 6 <br />r CO/0 <br />10. <br />Z30 <br />�, dL(3Frta� AIS <br />QP--ifiC Uale range Of Information Requested: From 49^rlvejt to F9re1 dAaL <br />.,// <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />4NDEROROUND TANK(UST)CLEANUP SITE (LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br />+OTHER CLEANUP SITE (NON -LOP) MFOOD FACT C3 WASTE TIRE <br />)4 UNDERGROUND TANK (MONITORINGIREMOVAL)a' CI DOG KENNEL ❑ DAIRY <br />•,HAZARDOUS WASTE GENERATORN Cl CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br />O TIEREDPBRMITYI❑MOTEUH13 PUMPER TRUCKIYARDICHEM TOILETS <br />C7 TATTOO/BODY PIERCING <br />FACILITY RCING OTEL ❑ POOl1SPA ❑ LAND USE APPLICATION SITES <br />EJ MEDICAL WASTE FACILITY © OTHER (PLEASE SPZCIPY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY S:OO AN+5:OOPM - EXCLUDING HOLIDAYS. <br />1. List up to ton 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 209 464-0130 or mall to the address Indicated above. Address <br />ranges will not be accepted —for additional assistance with file addresses, contact the END. Applications received after <br />3:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant if any END 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 END 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 END staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $105 deposit prior to review. <br />I a.il C-1 �.lT. <br />S0 39Vd <br />NOdIa0391,13 <br />96L16696OZ Tb:TT 8002/LT/ZT <br />