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08/20/2013 TUE 8: 49 FAX 20946P^099 SJC Public Works 2001/001 <br /> ------------------_ - --------- —— ---- -....------------ -.._...— —.........._._...�_.. <br /> EHD LOG NUMBER <br /> DATE R CEIVE� ® SAN JOAQUIN COUNTY <br /> RE(�E L L H DEPARTMENT <br /> ENVIRONMENTA HEAT <br /> 1868.East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG � O J13 Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALN F I L. TOPY <br /> PEFIMIT/cr-RvtCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Amy Spitzer BUSINESS/AGENCY:San Joaquin County Public Works <br /> ADDRESS: 1810 East Hazelton Avenue CITYISTATEIZIP:Stockton,CA 95205 <br /> PHONE (1): (209)468-8494 PHONE(2): FACSIMILE:(209)468-2999 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only.-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU T $125 FEE( S)OR CHECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <a- soh <br /> Electronic Information: ❑ List❑ Ma Description: <br /> FILE ADDRESS ti EHD USE ONLY <br /> Street# Street Name ° city Unit 1 <br /> 3550 N.Wilson Way y Stockton ��` <br /> 3514 N.Wilson Way Stockton unit 2 F7 <br /> 3. 3737 N.Wilson Way Ci Stockton <br /> 4. XJ Unit 3 V <br /> 5. 6� <br /> 6. �❑Unit 4 <br /> 7L98. <br /> Unit s <br /> . [2 Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT ❑SOLID WASTE FACILfTYNEHICLE <br /> ■❑OTHER CLEANUP SITE(NON-LOP) ❑■ FOOD FACILITY ❑WASTE TIRE <br /> ■❑UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL *DAIRY <br /> FEI HAZARDOUS WASTE GENERATOR �Q CHICKEN RANCH ❑■ WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL Q PUMPER TRUCKIYARD/CHEMICAL TOILETS . <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑■ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY )(-N COMPLAINT RECORDS ❑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 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 elt/11 <br /> Received Time Aug. 20. 2013 8:40AM. No. 3880 <br />