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07/03/2012 10:07 FAX 559 442 5081 KLEINFELDER Z002/002 <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232I <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> &q <br /> tie I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: � w 1 U1 (I[X BUSINESS/AGENCY: V.6- <br /> ADDRESS: 5(25 R Ga,+eS NVe— CITY/STATEIZIP: <br /> PHONE(1): e59 01.Q b—rzo PHONE (2): 659 qt(-¢ I((oZ FACSIMILE: 55"1 447-5cr/ <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date c4 application submdtal- Terdative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT V ,4-t- - DATE enq(Zp(Z <br /> Electronic Information: [-] List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> �J 1. �S 2ef�y1( p S-ff�2 ❑unnl <br /> 2. �o/o 5( <br /> NOL)rlii3-- UH2 <br /> 3. �IUs(I» Js �(1,NO Ll <br /> 4. ';S <br /> 5. 7416 <br /> s. t� Sb L a a /t �c� 13/�� r <br /> 7. (o '/ %G k c-5,Logy �°Dt4 <br /> 9 - G Ver 1 3 L(.)'� ❑Unit 5 <br /> 10. <br /> ❑Unit 0 <br /> nn Specific Date Range of Infomtation Requested: From to <br /> 'I ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Y I U DERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FAC T fJYA/EHI LE /I - <br /> ❑I�".O,yTHERCLEANUP SITE(NoN•LOP) ❑FOOD FACILITY ❑WASTETIRE I j �I,I,P�7J 19/, <br /> _ allNDERGROUNI)TANK(MONITORINGIREMOVAL)01- ❑DOG KENNEL ❑DAIRY Y`o -7-1 f 7�I Z <br /> O- <br /> 0-HAZARDOUS WASTE GENERATOR � ❑CHICKEN RANCH II�� '1 <br /> 'r ❑TIERED PERMITTED FACILITY yJ WASTEWATER TREATMENT PLANT <br /> ❑MOTELIHOTEL El PUMPER TRUCK/YARDICHEMICALTOILET�Q <br /> M TATTQOBODV PIERCING ❑POOL/SPA ❑LAND USEAPPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑'COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> Sv WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> > 1. LIS, <br /> uo to ten addresses in the space above. Select the type(s) of files from the list above b checkingthe appropriate <br /> box(es), At least one file type MUST be selected. Fax to 2091464-0138 or mail to the address Indicated above Address <br /> %;i:3 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 flies will be held for a maximum of five business days for review. Appointments <br /> Sq} should be scheduled accordingly. <br /> -�3. A file that Is actively being worked on by EHD staff ma�{no Im,(rtediately available for review. A new applleation`may be N <br /> submitted when the file Is available. k <br /> '(Gv 1�IIIS 1� <br /> 4. Any file not returned in the same condition as rele ed wilt b re8rganized by EHD staff at the expense o Che applicant. <br /> Future file reviews by the same applicant may re ire a$125 deposit prior to review. l� <br /> 10-11 Z I TJO <br /> " e P7 . 1� <br /> 7-I o y 1 J E. <br /> LReceived Time- U1. 20.12-11 ; 04AM_No. 01297-II-IZ �EYJ?73LS S a <br /> i^ tile✓ h,- 3y 37 -i>-Po/1- Kms' a,r„ <br />