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0022///113�3/220�0�6(]j 16:23 510-4676 PSI INC • PAGE 01/01 <br /> u U C V lS4 '1"—D EHD LOG NUMBER <br /> LI lJ L�V[SV w- SAN JOAQuXN COUNTY <br /> FEB 1 3 2006 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3d Floor, Stockton,CA 95202-2708 <br /> ENVIRONMEN f HEALTH Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERMIT/SERVICES p PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Mr. OriEYcc. S->'rizr_k-. BUSINESSIAGENCY: 69 . mac._ <br /> ADDRESS: Y7oZ 7idewa(-cr 6& reA 4Y(ool <br /> PHONE(U: 17 PHONE(2): FAO9IMII.E: S?O—rfTy—SGT <br /> TENTATIVE*APPOINTMENT DATE: y TY/nro Time ,gAoinoerL <br /> (Please allow 10 business days from date of a plleatlon submiCal."Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-593..00E(CACHE QUEST PROCESSED IN 3 BUS ESS PAYS_ <br /> SIGNATURE OF APPLICANT DATE 6 <br /> UNIT DISTAIBUTON 0unit I E3 Unit z 0Unit 3 ❑Unit 4 OUnit a 13 Unita 13 Other(electronlclllatsnnapc) <br /> FILE ADDRESS EHD USE ONLY <br /> streat;r street Name City <br /> 1. 20 4.1.z cli <br /> 4. <br /> 6. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested r'01Niwl to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M UNDERCROMO TANK(UST)CLEANUPSaE(LOP) O HOUSINGARATFAIENT ❑SOLID WASTN FACILRYNEHcm <br /> to OTHER CLEAMIP SITE(NON-LOP) ❑FOOD FACILITY d WASTETIRE <br /> UNDERGROUND TANK(MOMTORVNOIREMOYAL) 0DDC KENNEL ❑DAIRY . <br /> HA7ARDOUSWASTEGENERATOR OCHICKEN RANCH C7 WASTEWATER Tt:FATMENT POINT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL O PLMFER TRIICKIYARDICHEM TOILETS <br /> ❑TATTOWBOOY PIERCINO 0 POOLTSPA ❑LAND USE APPLICATION SUES <br /> MEDICAL WASTE FACILUY O On£R(PLEASE SPWFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FORREAEw- MONDAY-FRIDAY 8:00 AMS:OOPM - 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)4640138 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 next 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 new <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 /> LRD ae.oaaoe <br /> VTM3s <br />