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3 G 1V't< d EHD LOG NUMBER <br /> HIIV_�3H SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT � <br /> � � 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> � � �' Telephone: (209)468-3420 Fax: (209)464-0938 Web:www.sjgov.orglehd <br /> �: � ►: « � PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:-mike sonke BUSINESS/AGENCY:CardnoATC <br /> ADDRESS: 1117 Lane Palm Avenue Suite 201 CITYISTATEIZI P:Modesto,CA 95351 <br /> PHONE(1): (209)579-2221 PHONE(2):.(209)356-5018 FACSIMILE:(209)579-2225 <br /> TENTATIVE"APPOINTMENT DATE:'Monday May 6,2013 Time: 10:00am <br /> (Please allow,10 business days from date of applications ubmittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ 1 S 125 F E(C R CK NLY)-REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT9DATE April 22,2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 714 N. Hunter. "15�_ Stockton <br /> 2. 7,15 ;- N-NUnte_FT b6 i Stockton ❑Unit 2 <br /> 3. 804 N. Hunter Stockton <br /> 4. r8-19N:,-Hunti�"'r `jSL` Z9 �5 ockton nit 3 <br /> 5. t1_Dorado Stockton 3 USS <br /> 5. 713 N. El Dorado Stockton � �� �1,rA IA-Bd nit4 <br /> 7. 725 N. EI Dorado .,\?LP StocktonZ /• 5rc� <br /> 8. 804 N. El Dorado n � Stockton t 'It <br /> Ic l I�� ❑Unit 5 <br /> 9. 212 W. Poplar Yvfy' Stockton (2 x•.fj 13 <br /> 10. ❑Unit <br /> Specific Date Range of Information Requested: From to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES- - - - <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) . ❑HOUSING A13ATEMENT ❑WASTE TIRE <br /> ❑■ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ■❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> QHAZARDOUS WASTEIHAZARDOUSMATERIALS ❑MOTELIHOTEL ❑PUMPER TRucKIYARDICHEM1cALToILETS <br /> Fol TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑I! COMPLAINTIREsPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERNnIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List ui3 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)464-0138 or mail to the address indicated above._ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EMD. 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 EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review, ***BOXED AREA-EHD USE ONLY'** <br /> © Records provided by Staff-PPR Complete.Staff Name: <br /> EHD 48-09 914112 <br />