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07/12/2010 11:05 8052399309 SIERRA DELTA CONSULT PAGE 01/01 / <br /> • • <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.ore , , <br /> PUBLIC RECORDS RELEASE APPLICATION Q rr � ( <br /> APPLICANT: q IM,S 1 v, BUSINESSIAGENCY: ' �4 S�.Jt'f�+t�s <br /> ADDRESS: GI�� J a l CITYISTATEIZIP: v�U-2 . Q 3 <br /> PHONE(1): PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time, <br /> (Please allow 10 buslness days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑CHECK BOH TO EXPEDITE REQUEST- 5 F (CASH OR HECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT A� (Ansinl� DATE I`7 <br /> Electronic Information: [] List[] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street It Street Name city ❑UnR t <br /> z. ❑Unit 2 <br /> 3. s elf �� w, `v <br /> 4 nit 3 \� <br /> 5. <br /> 6. Unit 4 <br /> 7, <br /> B. ❑Units <br /> 9. <br /> 1 g, ❑Unit 8 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHI ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑ <br /> TATTOO/BODY PIERCING ❑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-S:OOPM(EXCLUDING HOLIDAYS <br /> 1. List uD to ten addresses in the space above. Select the type(S)of files from the list above by checking the appropriate <br /> boxI At least one file type MUST be selected. Fax to 14644138 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 flies 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> E956HD VBE WHEY <br /> CHO a9.09 BRTI09 <br />