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n 4 5PM Awanced GeoEnvi ronmentalNo. 3818 P. 1 N <br /> � EHD LOG NUMBER <br /> 6o, SAN JOAQUIN COUNT'S( 1 <br /> Clot, Z 0 2008 ENVIRONMENTAL HEALTII DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 �] <br /> ENVIROWAIEN T HEALTH Telephone: ('209)468-3420 Fax: (209)464-0138 Web:www.Sjgov. Tg 19 r/ <br /> ERt <br /> Pv4iTISERVICE3 <br /> -�� ('' PUBLIC RECORDS RELEASE AP^'P�LICATI N <br /> APPLICANT: I Ll \V R_LLA(� �J _B�USI`NE/S59AGENCY: ��j NGFt� GCP �+7V�remy'R40 <br /> ADDRESS: tS 37 -S 14 <br /> PHONE(1): 'L ad - 3 Q -t05) ,S` PHONE(2): &otl V la 7 Fl Q O FACSIMILE: Zsat1 Yl0 J 1 j I o <br /> TENTATIVE'APPOINTMENT DATE! Time: <br /> (Please allow 10 business days from date of application submittal 'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 7 DATE Z <br /> Electronic Information: ❑ List ❑ Map-Description <br /> FILE ADDRESS _ _... -,EHD.USE ONLY _.., <br /> _ Street# -� Street Name City ❑ unit <br /> 2 ❑ Unit 2 <br /> 3. ❑ Unit 3 <br /> 4. _..._ Cy <br /> 5. <br /> Unil4 <br /> 6. <br /> 7. ❑ Unit 5 <br /> 8. <br /> 9. <br /> ❑ unit s <br /> 10. 11 <br /> Specific Date Range of Information Requested: From C7 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> PERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 13SOLID WASTE FACILIrYNEHICLE <br /> O ER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> t3 UNDERGROUND TANK(MONITORINGIREMOVAL) E3 DOG KENNEL ❑DAIRY <br /> ❑HAZARODUs WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> L7 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTooIBODY PIERCING ❑POOt1SPA M LAND USE APPLICATION SITES <br /> d MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPEClrY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW• MONDAY-FRIDAY 8:00 AM-5:00PM - 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(BS). 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 ENP.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 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 EHO 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 /> *** If you should heed further assistance please contact Diane Martinez C0 (209)468-3426 directly. Thank You*** <br />