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10/18/2007 THO A15 FAX 2062999 SJC PUBLIC WORKS 2001/002 <br /> DATE REC=IVEO SAN JOAQEHD LOG NUMBER <br /> TJIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East M42 Street,Stockton, 38 Web: <br /> w3029 <br /> Telephone:(209)468.3420 Fax:(209)464-0138 Web:wwwsjgov.o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Mark Hopkins BUSINESS/AGENCY:SJC Public Works <br /> ADDRESS: 1810 E.Hazelton Ave. <br /> PHONE(1):_468-3085 PHONE(2): FACSIMILE:--468-2999 <br /> TENTATIVE'APPOINTMENT DATE: Nov.2,2OD7 Time: 1:15 PM <br /> (Please alloW 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> E3 CHECK BOX TO EXPEDITE REQUEST-;98.00 FEE(PAS1S13 OR CHECK ONLY)-REQUEST PROCESSED IN 3 6 SINE S DAYS <br /> SIGNATURE OF APPLICANT `r`/(�-./G� 'hL+ L, DATE D <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> StreatF Street Name city ❑ unn1 <br /> �• 32223 Corm) uollo,c/ 9D UA►T(L <br /> 2• S;l5Z 5 Lorr&j6, U T& /4) — I F unit2 <br /> 3. 3 ; Ma e w <br /> 4. I �t nit3 <br /> ar �G <br /> 5. U <br /> G /01 <br /> 7. <br /> 8 ❑ Una s <br /> 9, <br /> Units <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ,../ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .Ja UNDERGROUND TANK(UST)CLEANUP SME(LOP) 11 HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> R,.ryOTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY Cl WASTETIRE <br /> p^UNDERGROUND TANK(MONITORINGIREMOVAL) O Doc KENNEL O DAIRY <br /> #HA2ARDOUS WASTE GENERATOR 0CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> -O TIERED PERMITTED FACILnY 0 MOTELIHOTEL 13 PumPERTRUCKIYARDICHEM TOILETS <br /> O TATTOOIBODY PIERCING O POCUSPA JZrLAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 6:00 AM-S:ODPM -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)4640138 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 flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4 16 WES Wao)r <br />