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02/13/2006 16:23 510-:4 76 PSI INC Is PAGE 01/01 <br /> R AW44 D SAN JOAQM COUNTY EHD LOG NUM$6R <br /> FEB e 3 2006 EwwON114ENTAL MALTn DEPARTMENT <br /> 304 East Weber Avenue,3'd Floor, Stockton,CA 95202-2708 "/ <br /> ENVIRONME[IT HEALTH Telephone.(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ohd 1. 173 <br /> PERK-USERVICES <br /> O PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: M/' PrfK64, _SUSINESVAGENCY:�sr, 4it _ <br /> ADDRESS: V70 T0;e-4 QeL L i VA".-f f m `fytool <br /> PHONE(1): S20-4'7'/-9ZVO - l7 PHONE(2): FACSIMILE: S?D-r/4767c� _ <br /> TENTATIVE*APPOINTMENT DATE: �Y�bc> 71me: AA .ndb,t <br /> (Please allow 10 DUSinasa days from date of a plleatlon submittal-"Tentative only-must be Oonfinned) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00f�E(CASH-GR CHE(�'KONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ /� DATE <br /> uNITDISTRIBUTION 0 Unit o Unft2 0 Unita 0 UnK4 0 Unit t7 Unite 0 other(0IMVonlctttseannaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Sue"# Street Name City <br /> 1. '2.0 �Z 5!bcA-{e-•.i <br /> 2- o S St. r <br /> 3. 5a cG fe L <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 8. <br /> 10. <br /> Specific Date Range of Information Requested ro to <br /> �,ee��II <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> A UNDERGROUNDTANK(UST)CLEANUPSre(LOP) O HOUSING ABATEMENT O SOUDWASTe FAaLrryw"cm <br /> 0 OTHER CLEANUP SrtE(NowLOP) RFOOD FACILITY 0wASTETIRE <br /> UNDERGROUND TANK(MOMTOMWfR.Ep AL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR OCHICKm RANCH O WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑MOTEl1HOTEL ❑PUMPER TRucK/YAAWCHEM TOILETS <br /> 0 TATTOOMODY PIERCING 0 POOLP3PA 0 LAND WE APPL"UQN SITES <br /> ❑MEDK:AL WASTE PACILTTY 0 OTHER(PLEASE SPMPY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FMuAY B:00 AMS:00PM - EXCLUDING HOLIDAYS <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the neat business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review_ Appointments 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 naw <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> EHD L8A2-006 ' <br /> t/14Ms <br />