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06/03/2008 09:51 FAX 53024316 - <br />DATE RECEIVEp <br />CH211 HILL 2002/002 <br />w <br />EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT -70 <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.o /e <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Uy) G (q&k BUSINESS/AGENCY' CHI -►1('1111 <br />ADDRESS: '.!6 2.6 rGt( I I�C�dL <br />PHONE(1): ":~7`1'' PHONE (2): FACSIMILE:339 <br />TENTATIVE" APPOINTMENT DATE:�! IZ�>✓S Tlmo: 120'0(Please allow tan business days from date of application submittal -'Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST- $96.00 FE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT _�'1,WL DATE (11i'08 <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Street # <br />Street Name <br />City <br />l ❑ Unit 1 <br />ILS p� ' <br />ElOor,4o <br />3`I3� <br />5 {<a��� UJ <br />lel �-t <br />Uri (6 idw ��)��t� t2 <br />10 Wim' IllIEN <br />pye ��(oU <br />ii,& (.r 64 j-� - <br />3214 <br />32aa <br />S, Rralt.o <br />'' <br />110,'W <br />S -IN ) , <br />S. <br />MY uryvr <br />— <br />2-E7 <br />Q cni aF, <br />� <br />tJS 61 Unit4 <br />S 6 I)-tKO : oes ()4 <br />3tn5 <br />l ovo,dc <br />tilJt�32 <br />_� �. �� <br />jW <br />Sc (� ,.` (j,� :D�s o! Units <br />� \V ZJ I i C <br />4 <br />( <br />I lJPZ covv <br />Ave <br />nit 6 <br />nod, b �/ <br />Specific Date Range of Information Requested: From to <br />,(/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />PRI. <br />TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY/VEHIC�E(V'�V'ry'/�\ <br />UI-7 THER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY WWA$TE TIRE <br />NDERGROUND TANK (MONITORING/REMOVAL) ❑ Doo KENNEL � DAIRY �� ✓✓✓ <br />,[[[([[������,,.�=ARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑ WASTVWATER TREATM ENT PLAN <br />W TIERED PERMITTED FACILITY ❑ MOTEUHOTEL ❑iPUMPER TRVCK/YARD/CHEM TOIL <br />❑ TATTOO/BODY PIERCING ❑/POOLISPA � LAND USE APPLICATION SITES <br />171 MEDICAL WASTE FACILITY © OTHER (PLEASE SPECIFY) fir~ "A -L M /2 n '�, � -,- <br />WELL AND SEPTIC PERMIT RECORDS ARe AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-S.00PM - EXCLUDING HOLIDAYS. <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 (209),464-0138 or mail to the above address. Address ranges will <br />not be accepted - for additional assistance with file addresses, contact the EHD" Applications received after 3:00 pm will <br />be processed the next business day. <br />2. The EHD will notity the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten <br />days after receipt of application. The flies 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 the EHD staff may not be immediately available for review. A new application <br />may be 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 $98.00 deposit prior to review. <br />J EHD USE ONLY <br />EHD 40-06 10129/07 <br />1 <br />PUBLIC RECORDS RELEASE APP FORM <br />-F' <br />