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----I I/I U1 21JI I 1b:3] 92b/4bbi7y9 ALI UUNbULIANlb FAUt 01101 <br /> DATER EI Y EDS SAN JOAQUIN COUNTY Now EHb LOG NUMBER <br /> NOV 10 Z011 ENVIRONMENTAL. HEALTH DEPARTMENT <br /> Attn: Cheryl 640 East Main St. Stockton, CA 55202-3029 <br /> (P 209 !0{ ENT 616 (209)468-3420 Fax. (209) 464-0138 Web: www.sigov.org/ehd <br /> PERMITISERVICESpUSLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Corey Gargano BUSINESSIAGENCy:AEI Constlltante <br /> ADDRESS: 2500 Camino Diablo CITYISTATEIZIP: Walnut Creek, CA 94597 <br /> PHONE(1): 925-746-6046 PHONE(2): FACSIMILE: 925-746-6099 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of applleatien submittal-'Tentative only-must be confirmad) <br /> C]CHECK BOX TO EXPEC17E REQUEST- FEE ASH ECK ONi Y)-REQUEST PROCESSED IN 3 DUSI IES DAYS <br /> SIGNATURE.OF APPLICANT DATE �� 9IL <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHb USE ONLY <br /> Street# - Street Name 'Wig Unit 1 <br /> Ej. 7572. APN: 250-260-03 eZ°{St7 <br /> Vn1t 2 <br /> r4. hli- - { <br /> Unit 3 / <br /> 8. <br /> 7. -15llnit 4 <br /> 9. _ 'Ef Unit S <br /> nit 8 <br /> Specific Date Range of Inforrnatlon Requested: From Ai.L records on rie. to <br /> ENVIRONME TAL HEALTH DE=PARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(Lop) HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANDP SITE(NON-LOP) FOOD FACILITY WASTE PRFUNDERGROUND TANK(MONITORINGIRFMOVAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATF•R TREATMENT PLANT <br /> TIERED PERMITTED FACILITY MoT1=LIHOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TATTOOIBODY PIERCING PoOiISPA LAND U5E APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pM EXCLUDING HOLIDAYS) <br /> 1. Lisj up to ton p!1dres5ps in the space above. Select the type(s)of fifes tram the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. to 46MIJ0,or o th ssGated _ 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 Clay. <br /> 2. The EHD will notify the applicant H any EHD rites 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 a$released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> FHS usE a�,ry <br /> EHO 49-06 <br /> 07/29110 <br />