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11/01/20007 15:38FAX 1a002 <br /> O7 "M � EHD LOG NUMBER <br /> D i <br /> SAN JOAQUIN COUNTY <br /> N U V 0 1 2007 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> ENVIRONMENT HEAL%Iephone:(209)468-3420 Fax: (209)464-0138 Web:wwws1 90 eh <br /> PERMIT/SERVICES <br /> yy PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT: rl�t't'U / F `� BUSINESSIAGENCY: <br /> ADDRESS: / �' T wv"vr-- - 11;V CFG Uu A26EL-I-E-S 1�'yy:r-1 r <br /> PHONE(1): ��13� y3��� PHONE(2�):j� •Tra� FACSIMILE: OL„2J) ,"l y7J—J)D <br /> TENTATIVE*APPOINTMENT DATE: NV1/�Mti YOvv�- Time: II'OV C7'k1- <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST- 90. FE G OR CHEC ONLY).REQUEST PROCESSED IN 3 B SI ESS DAYS <br /> SIGNATURE OF APPLICANT DATE I) ) <br /> Electronic Information: ❑LW❑Map- orlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ Unit 1 <br /> 1. 140!i CAL094JI4 ST. EUL-Dt\J <br /> 2 ❑ Unit2 <br /> 3. <br /> 4. <br /> 5• Unit4 �\ <br /> 6. <br /> 7. <br /> Unik 5 <br /> 8. fA ,am <br /> 9. El units <br /> 10, <br /> LL — — <br /> Specific Date Range of Information Requested:From JAM U49 "�9 __ to J+R �I L PPM <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> hUNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 13 SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 0FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KLNNF ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR 13CHICKEN RANCH O WASTEWATER TREArMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCKNAFD/CHEM TOILETS <br /> ❑TATTOOIBODY PIERCING 0 POOLJSPA 13 LAND USE APPLICAHON SITES <br /> •MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 Am4:00PM - EXCLUDNG HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to f209)464-0138 of 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 confined 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$98.00 deposit prior to review. <br /> EHO USE ONLY <br /> eeD aeaa wee WK007 <br />