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DAi`i RECEIVED EHD LOG NUMBER <br /> SAN a,IOAQUIN COUNTY <br /> 1 `J 3 `0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> So- Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd q00 <br /> i"Ae" <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: IRVING JAMES BUFORD IV BUSINESS/AGENCY: BOARD OF EQUALIZATION <br /> ADDRESS: 450 N STREET CITY/STATE/ZIP:SACRAMENTO,CA 95814 <br /> PHONE (1): 916-332-0992 PHONE (2): FACSIMILE:916-319-9177 <br /> TENTAT/VE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT SEE AT,TACHEQ' -KTTE9 DATE 1/23/13 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> DL Street# Street Name city y Unit 1 <br /> 1. 1301S WILSON STOCKTON , <br /> 2• ❑ Unit 2 <br /> 3. l <br /> 4. Unit 35. <br /> �+ <br /> To view the HMMP.(Hazardous <br /> 6• Materials Management Plan)go to the ❑ Unit 4 <br /> 7. follow,nginrebsite:www.sjoesdata.org' <br /> 8. <br /> El Unit 5 <br /> 9. <br /> 10. ACCOUNTING <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE Lf fjk;b,-10 i 3 <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL)yt— ®FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK 0/_ ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS OL ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5: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 appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or 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 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 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$125 deposit prior to review, ***BOXED AREA-EHD USE ONLY—* <br /> ew ov I o W flfl ss I/, Nubh <br /> rvp1v.5� Ph �� (0 111 44P4 i745-(J) <br /> -5 <br /> ❑ Records provided by Sta -PPR Complete. Staff Name: <br /> EHD 48-06 914112 <br />