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DID Joe 011616 r.101/ul <br /> DATEr5 SAN JOAQUIN COUNTY • V�Vv <br /> ��p O ENVIRONMENTAL HEALTH DEPARTMENT <br /> Jlji� — X005 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Eft) r Telephone: (209) 468-3420 Fax: (209)464.0138 Web: www.sigov.org/ehd ]=07 <br /> PER'1i�SFr?V10E ,rii PUBLIC RECORDS RELEASE APPLICATION <br /> `/✓ICES <br /> APPLICANT: t� V_ V�\CyNLiC BUSINESSIAGENCY! N V� <br /> ADDRESS: 1t oA <br /> ^ T_ SGtKGf(�Q �ZI A 9SF�� 1 <br /> PHONE(1): __ q((p 213b yN o.P' PHONE(12): 911.0`R(a'4_ —1,1CO FACSIMILE: y((n_Z?i(oa_8� <br /> TENTATIVE*APPOINTMENT DATE: 10 1 1 1()�5 Time: 10A <br /> (Please allow 10 business days from date of application Submittal-*Tentative only"must be confirmed) <br /> 177 CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 0 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Cv -]/b�� <br /> UNIT DISTRIBUTION 171 Unit 1 In Unit 2A—nit 3 Unit 4 Unit 5 Unit 6 ❑ Other(electronic/listslmaps) <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street C Street Name City _, �I)r•y%� <br /> 2 a - <br /> It <br /> 5. <br /> 6. _ <br /> LEI I <br /> Specific Date Range of Information Requested; From _ 9M5 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 8d UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT Ell SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY I WASTE TIRE <br /> I.� <br /> LA'UNDERGROUND TANK(MONITO9IN0IREMOVAL) 0 DOG KENNEL ❑ DAIRY <br /> to HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> *LTIERED PERMITTED FACILITY C3 MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOUSPA ❑ 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-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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses, contact <br /> the EHD.Applications received after 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 <br /> approximately ten (1 D)days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> END 40-02-006 <br /> 1114136 <br /> TOTAL P.01 <br />