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/ ll�*e.J�I�l>a®25 925746 AEI CONSULTANTS• PAGE 01/01 <br /> DATE RECEIVED EHD LOG NUMBER <br /> FEB 0 3 2011 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT (� f <br /> ENVIRONMENTAL HH�AA��TI� 600 East Main St. Stockton, CA 95202-3029 `�(J <br /> PERMIT/SERVIC SIep one: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.Drg/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_;k2I�I fj� BUSINESS/AGENCY: . <br /> ADDRESS: ZW C, mlklDIDI_A-B19 CITYISTATEIZIP: WA1�)tkt rCA }� I <br /> PHONE(1): R5)$3d—IoS� PHONE(z): 446I FACSIMILE: �� <br /> TENTATIVE*APPOINTMENT DATE: 2� 2dL( Time: <br /> (Please allow 10 busir'"s days from date of application submittal•'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$115 FE (C H NECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Z�3 /1a U <br /> Electronic information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street a Street Name City unit 1 <br /> 1. Icwp�v�WN <br /> 3. � flf__ <br /> 4. unI13 <br /> S. <br /> 6. .....-....._...— Unit4 <br /> 7, _ _.�_.__.. . <br /> 3. )i .� Ounit 6 <br /> 9. — <br /> 10. units <br /> Specific Date Range of Informatlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tiViNNDERGROUNO TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT LID WASTE FACRMIVEHICLE <br /> DERGROUNo <br /> THER CLEANUP SITE(NON-LOP) ©FOOD FACILITY WASTE TIRE <br /> _ TANK(MONRORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> TTALARDOUS WASTE GENERATOR ❑CHICKEN RANCH ASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY ElMOTEUHOTEL PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ©OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1, List un 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 foes exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application, The flies 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$116 deposit prior to review. <br /> 5, If you need further assistance,please contact Diane Martinez,at(209)468-3426. <br /> EHD USE ONLY <br /> END 404t 8!27100 <br />