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From: 08/21 17 17:07 #729 P.001/001 <br /> n / �,q/)( �j0� 2094640138 ENVIRCM44ENTAL HEALTH PAGE 01/01 <br /> IU <�I��,=� rC nEHD LOG NUMBER <br /> SAN.IOAQUIN COUNTY <br /> AUG 2 2 2007 ENVIRONMENTAL HEALTH DCA 9520 DEPARTMENT �� <br /> 600 East Main Street,Stockton,CA 45202 <br /> ENVIRONMENT HEALT&Iephone: (209)468.3420 Fax:(209)464-0136 Web: Www,sjgov,o <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE A.PPLICATION <br /> APPLICANT: L rl Iw Z _ BUSINE/�SSIAGENCY: �5S/ /"G <br /> ADDRESS: cc��,,,,,O. ) )- I 1 O (v - aar 1Yi S-2 v <br /> PHONE(I): Zcl r7 J.7a.j"��,7 / (@): 2U r-T 7.3J-- � L $�.,;r' <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Plaaso allow 10 business days from date of application submf -`TenbDYe <br /> only must be confirms <br /> /p���/CHECK BOX TO EXPEDITE REQUES SBE(//p0 FEE( H O CHECK ONLY).REQUEST PROCESSED INr33 BUSINESS DAYS �ry <br /> SIGNATURE OF APPLICANT 1 DATE <br /> Electronic Information: El List C] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 6lreet Street Name city 0 Unit 1 <br /> .� U.t2 <br /> Unit 3 <br /> d .4 u F7 .,,�,�I.a.c.r' ,c - ( O( b �t r <br /> Wo-S-1 leiv <br /> CT / u^� �1y_ <br /> 6 1 Z' 6�iN'Lt,. 'G � f , <br /> //-�v� . fi ,,J� �� <br /> 5-05 ._ f ncp h C-e.�- -t.✓1 r LAS�� 0 units <br /> N c i 19 <br /> Specific Data Range of Information Requested:From toAIM <br /> \� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FI S <br /> ,- <br /> UNDERORWND TANK(UST)GLaANw SITE(LOP) HOUSING ABATEMENT Rf WASTE PACU E <br /> �1' ER CLEANUP SITE(NON-LOP) r3FOOD FACRdTY x TE TIRE <br /> UNDERORO11N0 TANK(MONITORMGIREMOVAL) ❑DOO KENNEL DAIRY <br /> V ❑HA=ARDOLIS WASTE GENERATOR O CHICKEN ❑WASTEWATER TREATMENT PLANT <br /> ` tM TIERED PERMITTED FACILITY O MOTELAI i 0 PUMPER TRucWYARDICHEM Toa.M <br /> tT TATTpOIBOOY PIERDING ❑POOL/SPA 13 LAND USE APPLICAMN SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PL SESPECIFYJ <br /> WELL AMC SEPTICPERMrr RECORDS AAEAVARASLE FOR REVIEW- MONDAY-FRIDAY11ID0 Ae-5:00PY • EXCLUDMGHOLIDAYS. <br /> 1, List up 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 1201119 464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addrassos,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next businoas 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. Anew application maybe <br /> submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will be raorganizad by EHD staff at the expense of the applicant. <br /> Future file reviews by the ssrrltiapplicant may require a$95,00 deposit prior to revrew. <br /> END USE ONLY <br />