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DATE.REGFIVL .-y'--' <br />SAN JQAQUIN COUNTY EHD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />; 3� &� X008 600 East Main Street, Stockton, CA 95202-3029 <br />i <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web. <br />" Www.sjgov-0rg/eh <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: v1U-ftT S1NHA COS PUBLIC WORKS <br />BUSINESS/AGENCY; <br />ADDRESS: 1465 S LINCOLN ST., STOCKTON, CA 95207 <br />PHONE(1); 209-937-7004 PHONE (2): FACSIMILE: 209-937-8883 <br />TENTATIVE* APPOINTMENT DATE: <br />(PIeaSO allow ten business days from date of application submittal • "Tentative only - must be confirmed) <br />13 CHECK BOX TO EXPEDITE REQUEST -$98.00 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT Vijay Sinlia ;;'7m DATE 07/16/200$ <br />Electronic Information: ® List jn Map -Description: 2007-08 RSTP STREET OVERLAY PROJECT <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City, <br />❑ unit 1 <br />1. 303 SPERRY RD STOC,t{TON <br />2. 5000 AIRPORT WY�� Il' STOCKTON 5T OZ�, 14 -IF" <br />Unit 2 <br />F <br />3. 2750 AIRPORT WY STOCKTON ke No ,, P_ IV f f (J <br />4. 3029 AIRPORT WY STOCKTON "/'�-/Ori <br />5. 3315 AIRPORT WY�Ik3 <br />STOCKTON <br />6. 3526 ZEPHYR ST STOCKTON <br />7. 3614 ZEPHYR ST STOCKTON <br />8. 3748 ZEPHYR STD ee <br />STOCK'Z'ON ND�b,Noco/� -eV -F ©Units <br />S. 3809 AIRPORT WY <br />_ STOCKTON <br />10. 1021 INDUSTRIAL DR ' STOCKTON qEl t� �/� ❑unite <br />Specific Date Range of Information Requested: From 01/01/2003 to 06/30/2008 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ADATEMENT d SOLID WASTE FACILITYIVEHICLE�✓ <br />0 OTHER CLEANUP SITE (NON -LOP) ❑FOOD FACILITY ❑WASTE TIRE � P <br />C3�.�/ <br />® UNDERGROUND TANK (MONITORINO/REMOVAL) ❑ DOG KENNEL DAIRY <br />0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH❑ WgSTEWAT6R TREATMENT PLANT l�u� II� 1 <br />$7 TIERED PERMITTED FACILITYf?: l7 MOTEL/HOTEL ❑ IAA1 ( <br />❑ TATTOomcoy PIERCING PUMPER TRUCKIYARD/CHEM TOILETS <br />C7 MEDICAL WASTE FACILITY ❑ POOLISPA 13 LAND USE APPLICATION SITPS <br />0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-6:00pM . 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 appropriate <br />box(es). At least one file type MUST be selected. Fax to 209 404013 <br />8 1 <br />not be accepted or mail the above address. Address ranges will <br />- for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will <br />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 <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 the EHD staff may not be immediately available for review. A new application <br />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 applicant. <br />Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br />_ EHD USE ONLY <br />of l .7 <br />EHO49•ae 10/29ro� <br />PUBLIC RE90RD5 RELF 5E APP FORM <br />