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12/28/2009 MON 16: 57 FAX 2094682999 SJC Public Works 0002/002 E� DD SAN JOAQUIN COUNTY EHD LOG NUMBER ENVIRONMENTAL HEALTH DEPARTMENT ULL G 9 2'009 600 East Main St. Stockton, CA 95202-2708 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.orgle ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION PERWTISE I CE-S APPLICANT:Megan Aguirre BUSINESSIAGENCY:San Joaquin County Public Works ADDRESS: 1810 East Hazelton Avenue CITYISTATEIZIP:Stockton,California 95205 PHONE (1): (209)468.8494 PHONE(2) FACSI MILE:(209)468-2999 TENTATIVE*APPOINTMENT DATE: Time: (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) ❑CHECK BOX TO EXPEDITE REQUEST-$115.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT DATE 12128120009 Electronic Information. ❑List❑Ma Descripti FILE ADDRESS EHD USE ONLY Street S Street Name City - Et 1. 25272 E. Lone Tree Road Escalon A}- ' 2. 14927 S.Escalon Bellota Road Escalon jJ A- 3. 14821 S. Escalon Bellota Road Escalon ' 4, 25525 E. Lone Tree Road Escalon 5. 94940 S. Escalon Bellota Road Escalon 6. 25650 E. Lone Tree Road Escalon -- Or 7. 15042 S. Escalon Bellota Road Escalon 8. '15072 S. Escalon Bellota Road Escalon � s 9. 25325 E. Lone Tree Road Escalon 1.0. ❑Unit 6 Specific Date Range of information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑��HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE Q OTHER CLEANUP SITE(NON-LOP) @01 FOOD FACILITY ❑WASTE TIRE Fill]UNDERGROUND TANK(MONITORINGIREMOVAL) ❑■ DOG KENNEL ■❑DAIRY ❑■ HAZARDOUS WASTE GENERATOR [1111111 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT ❑TIERED PERMITTED FACILITY ❑MOTELIHoTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS ❑TATTOOIBODY PIERO NG ■❑POOLISPA LAND USE APPLICATION SITES ❑■ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) 1. List un to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated ahove, Address ranges will not be accepted—for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review, A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a$115.00 deposit prior to review. EHL)use ONLY 'If you need further assistance please contact Diane Martinez Com' (209)468-3425 directly. Thank You""` Elio 42146 713112009 I