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oan Joaquin County —> 4640138 Z <br /> rI � ELU <br /> ``�' SAN JOAQUIN COUNTY EHD LOO NUMBER <br /> IVU V w Q 2009 ENVIRONMENTAL HEALTH DEPARTMENT �'� <br /> 600 East Main St.Stockton,CA 95202-302919 <br /> ENtJffit�MVIENT HEALTT?Iephone: (209)468.3420 Fax:(209)464-0138 Web:www.sigov.org/e <br /> PEhry I T/'Z"')ER VICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_f) AR it kn wF BUSINESS/AGENCY: A.56g 5sorz <br /> ADDRESS: 44_- N , _5 A -r„au t� CITY/STATE/ZIP:_ 5; �,c.C.roN (,A 9 6.v,0;L <br /> PHONE(1): 62oq) 4 k L, a70:; PHONE(2): FACSIMILE:_Oat) 1744-9573 <br /> TENTATIVE*APPOINTMENT DATE: Dee_ ¢ A00q Time:_ /v;., <br /> (Please 811OW 10 business days from date of appllca lo n submittal•'TenfaNvo only-must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE REQSTT-$115 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> I <br /> SIGNATURE OF APPLICANT �V /�mu�-e� DATE 14oy 19, ayn y <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street N Street Name A v N City ^ / <br /> Unit 1 , V <br /> 1- ,2706 C R eLLl - Iu• -5roC-KrotJ J`-o�CP <br /> 2. .213 Aflr 03A �D• 173•-0(-o--.jr o t <br /> (]Unit 2 \ <br /> 3. a 449 e rrc- . ,Ah! 045-00-M Lo v r <br /> 4. W 0119-. A-4 Loc_ E -oki5 Ala <br /> 6' 3fiN. NG. KtrE LN .•o LoD <br /> 6. or jq V- AM 04-6-14o-11 Low 4 <br /> 7. <br /> 8. <br /> 9 El Unit 6 <br /> 10. <br /> 0 Unit 6 <br /> Specific Date Range of Information Requested: From I I I.'IbAU tol 1A 0-R/=N r <br /> ENVIRONMENTAL HEALTH DEPART ENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEH ICLE <br /> ®OTHER CLEANUP SITE(NOWLOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> 0 UNDERGROUND TANK(MONITORIWREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK(YARIICHEMICAL TOILETS <br /> TATTOOIBODY PIERCING ❑POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 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. 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(200)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 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 fife 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 /> 6, if you need further assistance,please contact Diane Martinez,at(209)468.3426. <br /> END USB ONLY <br /> E I <br /> END 48-0i <br /> 0127100 <br />