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. dc__ _ .��♦t.dz:'rw/ rr/irk 4 ti✓-. u:+re.�t�. <br /> ■ A100/2012 15:21 #257 P.001 <br /> e■ From:Marcus H. Bole & Associato 530+633+0119 <br /> f <br /> r EHD LOG NUMBER it} <br /> DATE RECEIVED SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION d `t <br /> BUSINESS/AGENCY: f)1e(- AS_"nC4 <br /> APPLICANT: L p CITY/STATEIZIP:� /jA,_y��i C� <br /> ADDRESS: �U�q1,-&v <br /> D� <br /> PHONE(1) 1,-&v�� PHONE(2)• —30 &2i del � FACSIMILE: <br /> TENTATIVE*APPOINTMENT DAT E: ljfc S,CW as h�samc>vai��f�j2 Time: <br /> (Please allow 10 business days from date of application suornmal-`Yenta!we only-must be cont armed) <br /> ❑CHECK BOX TO EXPEDITE REQU -$1 E C SH O CHECK ONLY)-REQUEST PROCESSEDDATE N 3 BUSI ESS DA S <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City Unit1 <br /> Unit2 �I <br /> 3. <br /> 4. fy35ti D rift 3 J <br /> 6. v&-T C�D Q. r - "Ves � lhlvP ['fUnitb <br /> 7. <br /> Unit 5 <br /> 8. <br /> 9. <br /> Il <br /> 10. J -l7"'nt6 <br /> to <br /> Specific Date Range of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ERGRWND TANK(UST)CLEANUP SITE(LO P) ❑MEDICAL WASTE FACILITY ❑SOALID Wn SATE FACILiTYNEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT DAIRY <br /> QiGROUNO TANK'UST) ORINGIREMOVAL) ❑FOOD EN RA'Y <br /> OVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL [ WASTEWATER TREATMENT PLANT <br /> DOUS WASTE1rRDOUS MATERIALS ❑MOTELIHOTEL ❑ <br /> PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USEAPPLICATION SITES <br /> ❑TATTOOIBODY PIERCING �OMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S;OOPM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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 ba selected. Fax to(209)464.0138 or mail to the address indicated above. Address <br /> ranges will not ba 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 appliw0on. 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 avalla6le for review. Anew 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 1: EHD staff at the expense the applicant <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> EHD 48-0e <br /> T n_4 10 9lt19 4. 91PM Nn 1474 <br />