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Sep 2L 08 10: 29a lAurvitz Environmental 7078242G7S p. 1 <br /> EHD LOG NUMBER <br /> �� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> S E P 2008 600 East Main Street, Stockton, CA 95202-3029 �5s <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PER (?VIPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: L E L V l Z_ BUSINESSIAGENCY: \U e nr 1 e Z r l vl <br /> r <br /> ADDRESS: City/State/Zip <br /> PHONE(1): 707-3,-1 PHONE(2): 70I-7q[, 1 <br /> -t FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: 8 S1!2^� W G\) "I Time: <br /> (Please allow 10 business days from date of application submittal Tetamely-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE EST-$195 FEE(CASH 9R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1 -d.-) U G <br /> Electronic Information: ❑ List❑ Map-Description: <br /> _ FILE ADDRESS - EHD USE ONLY <br /> Street>R Street Name - - city - -- — - - - <br /> C I 1 - � Unit 1 <br /> a16 �vi6. E1 j�cicuto Sicicf- S4Cck- �qJ^�C� y� <br /> Z. � � >n 16A C -0 - Q,00a" 42 1 <br /> 3. -- <br /> 4, Unit 3 <br /> 6 Unit 4 <br /> 7. <br /> 8 Unit 5 <br /> 9. — <br /> 1U. -- -- - -- - — Unit <br /> Specific Date Range of Information Requested: From to <br /> r ` <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> JZ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT Ja SOLID WASTE FACILITY/VEHICLE <br /> XOTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY 13 MOTEUHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING 0 POOL/SPA O LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RE\nLw -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 fifes 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 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 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8/04!08 PUBLIC RECORDS RFL FASF APP F(-)RM <br />