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2008 3-0,5­^�@*'01 FAX >> 2094640138 P 2/2 <br /> i�IIL�L�� �I� �,tVT�' <br /> LJ <br /> ,I NVIRONMLN'1'AL HEALTH DEPARTKE ' <br /> MAV — 5 2008600 East Main Street.Stockton..CA 95202-31129 <br /> 1'cJcphone:(209)468-3=420 Fax: (209)464-0.138 Wch: w,v . ©v <br /> ENVIRONMENT HEALTh <br /> ES <br /> PE PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ,Li BUSINESSIAGENCY. ElliqOI <br /> ADDRESS: 4-1 "S t. L30 Ljif LLhT��_o <br /> PHONE to �c�k -������C � o� PHONE 12): 04?3 fIIV P S. AF CSINtIL ��� -OM <br /> 1 r <br /> TENTATIVE"APPOINTMENT DATE: �` <br /> IPWSO allow 14 business days from date Of application submtttal•'Tenfative only-r mt be confirmed), <br /> CHECK BOA TO EXPEDITE REQUEST-ps oo FEE(CASJ 9R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �p P so DATE 3 ,j I Off' <br /> Electronic Information: []List[]Map--Description., <br /> FILE ADDRESS EHD USE ONLY <br /> _ _ : <br /> - Stteet Jf i Street Name city _- - <br /> 1.. S "-'Q�L- �: �N' —� 1)�M � ►1 �"(6�l � %� �It19 <br /> ��.5-� �/:� �. �'• I(��i( Ur✓> ❑ unit)2 <br /> J. <br /> l _--- nit 3 <br /> $ - - Unit 4 <br /> T. -- <br /> $. _ -- ❑ unit 5 <br /> 9. ----- <br /> 10. - - <br /> Specifilc.Date Range of Information Requested: From I •�Q� �� SC_PTV_T'36 I aOC1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES /1) <br /> E3 UNDERGROURD TANK(UST)CLEANUP SITE(LOP) (71 HOUSING AEATEMEgT d SOLID 4MASTE FACauAvN <br /> +y�13�OTHER CLEANUP SrTE(NON-LOP) El FOOD FACILITY ❑WASTE T1EHICLE <br /> RE //� <br /> �1NRlERCROUNO TANK(MOMIYORINWREM'OVAL) O Doc KENNEL ❑DABRY J, I e5 n <br /> M HAZARDOUS WASTE GENCRATOR ❑CHICKEN RANCH 0 WASTEWATER TREATMENT PtAN't <br /> TIERED PERMITTED FACILITY MOTELIHOTEL ❑PUMPER TRUGKfYARDICHEM TOILETS <br /> D T'ATTDDlBODY PIERCING CI POOLISPA ❑LAND USE APPLICATIOU 8ITES <br /> Q MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY). <br /> WELL Aria S E'PTi4'PERMIT RECOR08 ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8;00 Ain-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the type($}Of files from the list above by chaGiking the appropriate <br /> box(es). At)east one file type MUST be selected. Fax to(209)464-031,or mail to the ad ica.ted above, Address <br /> ranges will not be accepted-for additional assistance with file addmses.contact the El-ID.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any SHID files exist An appointment for review will be confirmed approximately ten(10) <br /> days,altar receipt of aipplication. The files will behold 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$98.00 deposit prior to review. <br /> _ —._.. . EHD USE ONLY <br /> ... ___ <br />