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Feb 06 08 09: 45a Mar Tyree Herbert (925) 47-3738 p. l <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: wivw.sjgo -.or <br /> %5 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �,n �f ' y- <br /> APPLICANT: IV I QA'd a- I 'el��rma1.� BUSINESS/AGw� <br /> BUSINESS/AGENCY: <br /> ADDRESS: r�1�5 VV. P ne eJ;+, I Sfit7 b Loa � CA q6 :?-40 <br /> / <br /> FACSIMILE: l�a� 75-34—5,S- 4 <br /> TENTATIVE*APPOINTMENT DATE: I Z 2-00 Time: <br /> (Please allow 10 business days from date of application submit(al-'Tentative only-must be confirmed) g <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS p° ib)e <br /> SIGNATURE OF APPLICANT DATE z (O— 0 8 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1 u 1 k 12 rYl i i'ta 15 S i}G Porto StPG Sro c if-ov) <br /> 2. ;Z-1 1-1 W. INiLshin Irl `vt. S�o G� Z� /Jr r El Unit 2 <br /> 3- 5 2b W- 1�1G s hi n t pr1 St- S I o�k rnti ✓ <br /> 4. 2'LO ) 1>�{pt1 Si. Sj'i7 d& 8-VL. Unit 3 7 <br /> 5. 2 E3 21 [ C rRC)'T A F Unit 4 {�\ <br /> 6. Ir <br /> 7. <br /> VIA ❑ Unit 5 <br /> 8. <br /> 9. <br /> Unit 6 <br /> 10. <br /> 1 1 <br /> Specific Date Range of Information Requested: From to P1'e.seY-1�` <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 12, UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> '0 THER CLEANUP SITE(NON-LOP) 17 FOOD FACILITY WASTE TIRE <br /> y� UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEUHOTEL 11 PUMPER TRUCK/YARDICHEM TOILETS <br /> O TATTOO/BODY PIERCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 5:00 AM-5:00PM - 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 address 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 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. 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 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 /> EHD USE ONLY <br /> *** If you should need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*** <br /> ., <br /> EHD 48.06 9/1412006 <br />