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o° 01122/2015 16:07 (FAX) P.0011001 <br /> 11 <br /> ❑ <br /> I ❑ <br /> pE3 DATE RECEIVED EHD LOG NUMBER <br /> I❑° r,rel , SAN JOAQUIN COUNTY <br /> � ��� , ENVIRONMENTAL HEALTH DEPARTMENT <br /> 186E East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN 2 3 20jbelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: al <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:StQCkton /CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 buslnam days from date of appllcatlon submltfal-•Tents0vo only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQ $125 FEE( CH C -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE �.�?� •�,� <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City _OI U It 7 <br /> 1. 1947 East Channel Street Stockton <br /> 2. 1950 Miner Avenue. Stockton r lJnit2 <br /> 3- 2150 East Fremont Street Stockton -Icvv j <br /> 4. 103 North E Street Stockton -u Ica <br /> 5- 36 D Street Stockton <br /> g• 124 North E Street Stockton o 6nit4 <br /> 7• 11 South A Street Stockton <br /> e• 1750 East Channel Street Stockton Units <br /> 10, O'nit S <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING Aft4TEMENT SOLID WASTE FAC[LtTYNEHICLE <br /> Q OTHER CLEANUPSITE(NON-LOP) ❑FOOD FACILrrY Q WASTETIRE <br /> 0 UNDERGROUND TANK( owromNWREMOVAL) D03 KENNEL Q DAIRY <br /> 0 HAZARDOUS WAsTEGENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATWNTPLANT <br /> TIERED PERWrTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑P00LI6PA FX-1 LAND USEAPPUCATION SITES <br /> ❑ MEDICALWASTEFACILITY QCOWLAINTRECORDS [IOTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ton addresses in the space above. Select tho typa(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 1209)454-0138_or will to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHO. 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 revlew will be confirmed approximately ten(10) <br /> days after recelpt of application. The flies wlll be held for a maximum of flvo 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 reorganlzed by EHD staff at the expense of the applicant. <br /> Future file revlewa by the same applicant may require a$126 deposit prior to review. , <br /> I ;-� ). /_ ) / 'i i� l:r_ �'lt.-.ie�.�,C,,,i_ ''v',f--",�- ,.- !� �-;' ✓i,.� Y\. I -(..%i /.(. -v�"� � �-- <br /> 4 -00 8HH1 <br /> Received Time Jan. 22, 2015 3: 59PM No- 7944 <br />