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10/18/2007 TRU 14;36 Fil 201'12999 SJC PIBLIC WORKS*RW _ Z 002/002 <br /> DATE RECEIVED EHb LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> I] F 61, ENVIRONMENTAL HEALTH DEPARTME30v / <br /> 600 East Main Street, Stockton, CA 95202-302 <br /> f <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: ww-w. d <br /> (�(; 0 % ill l <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ri : ?Fr_�lark Hopkins BUSINESS/AGENCY: SJC Public Works <br /> ,..,.. :- <br /> ADDRESS:_1810 E.Hazelton Avo. <br /> PHONE(1):_,,,468-3085 PHONE(2):-,30,( D(} (: FACSIMILE:_468-2999 <br /> TENTATIVE*APPOINTMENT DATE:" Nov.2,2007 Time: 1:15 PM <br /> (Please allow 10 business days from date of application submittal-•rantative only.must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$98.00 E(C7AS�OR C ECK ONLY).REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /r? , / dam!' ✓ DATE LO I a <br /> / <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS I EHD USE ONLY <br /> treat if Street Name 1 <br /> 1. <br /> 3. (JN - - ----- - - <br /> a. _M5-92 <br /> 6. r N <br /> 6. L)r" nit 4 \\ <br /> ❑ Unit 5 <br /> 8. <br /> 10. ❑ Unit 6 <br /> L <br /> C_ <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOUO WASTE FACILITYNEHICLE <br /> MOTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TIRE <br /> 01 UNDERGROUND TANK(MONLTORING/REMOVAL) M DOG KENNEL O DAIRY <br /> 9HAzARDOUs WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTOolOoDY PIERCING ❑POOLISPA )2rI.AND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8;00 AM-5-OOpm - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax 209 464-0138 or mail to the addr9§5 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 END 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 WEB 6/82007 --- <br />