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I '1 I <br /> `06/28/2002 03:25 289467,118 AGE STOCKTON 4 PAGE 02/02 <br />{ <br /> DATE R5'_'-rNr=D F-HD LOG NUMBER <br /> SAN, ()AQU IN C.01JNTY <br /> N � <br /> r". C <br /> ENVX.RONMFNTAJ,HrA.aLTH Dj-�i)pARTAIENT <br /> MAY 0 6 2008600 East Main Street, Sto6toll, CA:05202 <br /> Teiephonc, (209)468-3420 Fax: (209)464-0138 Web: �v'V"r.sjgav"nz' id <br /> ENVIRGN ENT N Tib <br /> P- ICES PUBLIC RECORDS RELEASE APPLI .A T <br /> _ C <br /> ISI T..O.N <br /> APPLICANT:_ "92""Oecco,` Bll$[NE5$!A[;F=fICY: . ChVCt Q(�EV1Vi Y+1hda(1x�1 <br /> k ADDRESS: g3`] S N W a �2h&b n ,Cly <br /> 4 <br /> PHONE(1):Lu -t000 PHQNE 2 . a€ <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- U $T-$ . 0 EE. C�HEONLY)- QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �7DATE ` �D <br /> Electronic Information: ❑ List❑ Map....Description. ;1 <br /> __. . FILE ADDRESS _ ;' EHD USE ONLY q <br /> Strcot# _ Street Name City – — ❑ Unit 4 1 <br /> ❑ Unit 2 <br /> 3. <br /> 4• — Unit 3 <br /> 6. Unit.4 <br /> Ilk <br /> g ❑ units: <br /> LL Unit <br /> Specific Date Range of Information Requester(: From <br /> ENVIRONMENTAL HEALTH DEPARTMEN'T FILES <br /> UNDERGROU14D TANK(UST)CLEANUP SITE(LOP) ❑Housmu ABATEMENT 0 SOLID WASTE FACILITYNEHIQLE <br /> QTKFR CLEANUP SITE(NON-LOP) ❑FoQD FACILITY i M WASTE TIRE <br /> UNDERQROUNb TANK(MQNITQRMIREMOVAL) ❑DOG KENNEL. ❑ DAIRY <br /> IR HAZARDOUS WASTE GENERATOR C7 CHICKr;N RANCH " CI WASTEWATER TRT=ATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL C3 PUMPER TRUCK/YARDICH6M TOILETS <br /> ❑ TATT001800Y PIERCING a pOQL/$PA M LAND USE APPLICATION SITES <br /> In MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY)11i <br /> WELL AND SEPTIC PERMIT kECORC)S ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-$:OIIPm EXCLUDING HOLIDAYS, <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list ab ovo by checking the appropriato <br /> box(as)_ At least one file type MUST be selected_ Fax to 209 4,64-0138 or map#o the'addross indicated above. Address <br /> ranges will not be accepted–for additional assistance with file addresses,contact the EHE.Applications received after <br /> 3:00 pm will be processed the next business day, iG <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> nays after receipt of application. The files will be geld for a maximum of five business day$for revi®w. Appointments <br /> should be scheduled accordingly. 1 <br /> 3. A file that is actively being worked on by EHO staff may not be Immediately available for review_ A ne <br /> submitted when the w application may btu <br /> file is available_ <br /> 4. Any file not returned in the same condition as released will be reorganized by(HD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.40 deposit prior to.review. <br /> ENI]USE ONLY <br /> Pb aa.na 5,"G'2007 <br />