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i <br /> SAN JOAQUIN COUNTY EHO LOC-.'NUMBER <br /> 3 0 2009 ENVIRONMENTAL HEALTH DEPARTMENT" <br /> 600 East ENVIRONME-NT HEALTH Telephone: (209).468-3420�Faxin : (209) 464-0 38 Web w <br /> PERMIT/SERVICES . www,s�gov.org/t<. StOckton, CA 95202-3029 Ljd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MATT SMALI,EY <br /> Bf1SINESSIAGENCY: DELTA <br /> ADDRESS: 724 VALLE,70 WAY <br /> PHONE(1): 916 446 3803 PHONE (z); CITY/STATE/ZIP: SACRAMENTO <br /> TENTATtvE"APPOINTMENTDATE: FACSIMILE: 916 638 63BS <br /> {Please allow 10 business days From date of application submittal. TIttiE; <br /> Ten(a[1ve only-must be conFrmad) <br /> ❑CHECK BOX TO EXPEDITE�����R$11 EE CNECK ONLY}-REQUEST PROCESSED IN 3 BUSINE$$pgY5 <br /> SIGNATURE OF APPLICANT <br /> DATE 12,- k).—()q <br /> Electronic information: ❑ List❑ Map'—Description: <br /> FILE ADDRESS <br /> Street# EM USE ONLY <br /> ____-_ SEreet flame <br /> .----_.—._ City <br /> 1- 6100 <br /> Y.WY 9-9 NTH STOCKTQN _...._. . -- - - - - Unit f <br /> 2, 1617 FREMON`I' W STOCKTON <br /> 3. 3 212 CALIFORNIA ST -,w�T - <br /> STOCKTQN I]Unii 2 {, <br /> 4. 16470 CAMBRIDGE DRIVE `� <br /> LATHR <br /> QR <br /> 5. 3978 HWY 99 STH - ,t7nit,3�-- <br /> 6. STOCKTON <br /> 7. h�niiia <br /> 9. <br /> 'Q Unit 6 <br /> Specific Date!Range or Information Requested: From ALL — <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to P�'ESENT <br /> UHDQ0ROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENSOLI❑OTHER CLEANUP SITE(NON-LOP) ❑ D WASTE FACILITYIVEHICLE <br /> ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TAMC(MONITORING/REMOVAL) ❑000 KENNEL <br /> ®HAZARDOUS WASTE GENERATOR [I DAIRY <br /> []CHICKEN RANCH <br /> ®TIERED PERuiTTED FACILITY ❑MOTEL/HOTEL ❑WASTEWATER TREATMENT PLANT <br /> ❑TATTOOIBODY PtERCtNG ❑POOLISPA ❑PUMPER TRUCKNARDICHEWCAL TOILETS <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASESPECIFY) ❑LAND USE APPLICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;40 AM-5:0()pM (EXCLUDING F(OL.IUAYS) <br /> 1. List u to loan addresses In the space above. Select the type($)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 4 1 8 or mail to the address I <br /> ranges will not be accepted -tor additional assistance with file addresses,Contact the FHD. Appllcationsbreceived afters <br /> 3:00 pm w111 be processed the next business day, <br /> 2. The FHD 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 SIV811able for review. A new application may be <br /> Submitted when the file is available, <br /> 4. Any file not returned in the game condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Fuiture Mlle reviews by the same applicant may require a$115 deposit prior to review. <br /> 6. If you need further assistance, please contact Diane Martinez,at(208)468-3426. <br /> eHo usE oN�v <br /> EHO 49-06 <br /> 91Z7iog <br /> L <br />