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04/24/2007 08:56 5302445021 LAWRENCE ASSOCIATES PAGE 01 <br /> f) 0- - <br /> DAT�EFiEiCFIVED- - EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> I+NViROWENTAL HEALTH DFPARTM.F,.NT <br /> 600 E. Main Street, Stockton,CA 95202-3029 /?0 <br /> J' 'Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov,org/fd <br /> d. <br /> -0 <br /> - PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: -USINES AGENCY. L�/a �� <br /> �> �. _4` 5o cr�d� <br /> ADDRESS;_moo 1 pwy,e - 1 a 1 <br /> PHONE(1):.J�7-�17.'..�- �a 7 D PHONE(2): _-__ FACSIMILE; 5�0 2 `f <br /> TENTA,TIVI*`APPOINTMENT DATE: 5-1310 T ►ti-.cam Com, ► 24,M- <br /> (Please allow 10 business days from date of appl cation submittal •Te ust he confirmed) <br /> CHECK BOX TO EXPEDITE REQ ST-595. CASH OR CH 1L Ci ROCESSED IN 3 BUSINESS DAYS c:;,Ja.Acbje_ <br /> SIGNATURE OF APPLICANT DATE <br /> / a . <br /> Electronic Information: ❑ Lis Map—Description. <br /> FILE ADDRESS EHD USE ONLY ��- <br /> Street# Strect Name city ❑ Unit i <br /> 2. LO /0'Unft 2 <br /> 3. <br /> 4. {Q � �„ �L Unit3 <br /> 6. +r h W �Unit.t <br /> ❑ Unit 5 <br /> 00 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNUERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT Pr�rSOL,ID WASTE FACIL.INIVENICLE <br /> ER <br /> OTHCLEANUP SITE(NoN4-OP) I7 FOOD FAcourr r WASTE TIRE <br /> X,UNEMROROUNO TANK(MONMORM(WREMOVAL) C3 Doo KENNET. ,a-DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH C� VASTEWATER TREATMENT PLANT <br /> XTIERED PERMITTED FACILrrY 0 MOTELIHOTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTOoIBODY PIERCING M POOIISPA ❑LANDSJ PLICATION SITES <br /> 0 MEDICAL WASTE FACILrrY Z OTHER(PL, ASE SpeolrY)D4 , d� V Ati"5C_ <br /> WELL.AND SEPTIC PERu1T RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 9:00 AMS:00PM - EXCLUMNO 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.(208)41344138 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 wlll 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 EHb staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$9S-00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4ece e13n ,ten <br />