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03/16/2007 15:10 FAX • 1� 002 <br /> EHD LOG NUMBER <br /> ( T ` 1�v IDi SAN JOAQUIN COUNTY <br /> u ENVIRONMENTAL IUALTH DEPARTMENT <br /> CYlAt, i 6 2007 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 00 /'� <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd3 (/, <br /> ENVIROPJI,IE(vi NEP,L"IN <br /> 41 <br /> )TEnr,.a; 1I[PLAICES PUBLIC RECORDS RELEASE APPLICATION ^�1 <br /> APPLICANT: 'VILk BUSINESSIAGENCY: W li -KJkl 1`ri5l oGia.�-es <br /> ADDRESS: 3Nlo 6Q q�.w.� 56Ck6q 1 cA 952141 - <br /> PHONE(1): (2c 9) 234-7712_ PHONE(2): (U l) 234-7727 (fix) F*effl _Wff' <br /> TENTATIVE`APPOINTMENT DATE: Tim: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE T• .00 FEE(CAS OR ECI. ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3/16/0'7 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ Unit <br /> [4. <br /> 4315 LAP-�"loc pL 5�b LV�aylUnit2 <br /> R4 41107 Wj-er)oo F4 E��911tr�� pUnit3 <br /> ZV�e..7'e�f loonn KTX-755 N Bfc[ASow Unit <br /> 6. I q05 Nnr`i �lni�o fIP�a 1 1 <br /> 7. 400 e'oltrL IRA `O�a�F'-T�vl ❑ Unit <br /> - <br /> 9. ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 17 HOUSING ABATEMENT 13 SOLID WASTE FACIUTYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIRE <br /> UNDERGROUND TANK(MONIrORING/REMOVAL) 0 DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR 11 CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTELIHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> •TATTOOIBODY PIERCING In POOLISPA ❑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:OOPM - EXCLUDING HODOAYS. <br /> 1. List 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 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 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 be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.D0 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48,06 911312006 <br />