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■j. 16 2017 09:20AM Emiro Assess 8776235493 page 1 <br /> ■ ■ y E E <br /> j■ ®�`CENHO LOG NUMBER <br /> s <br /> FIE R 'C}' SAN JOAQUIN COUNTY <br /> MAN ' S �Q� ENVIRONMENTAL HEALTH DEPARTMENT • Q <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 nJ Tv) <br /> MMONMe"E (209)468-3420 Fax: (209) 464-0138 Web: www.$)gov.org/ehd <br /> PE)#MITISC^f vr,;E <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Cheryl Jackson BUSINESSIAGENCY.EMROA�S=ent PC ' <br /> ADDRESS: Po Box 1154 CITYISTATEIZIP:Bonners Ferry,ID 83ao5, <br /> PHONE(1): 644-742-7311 PHONE(2): FACSIMILE:877-623�,W <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be coriflnned) <br /> v <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUS.I,NESS DAYS <br /> SIGNATURE OF APPLICANT HeatherGemmrig E °-- -^- -- -- DATE March 16�217 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EH0,6SE'0 LY <br /> street# <br /> Street Name City Unit.1- 31-�y <br /> 1. 808 Cherokee Lane Lodi l/ i <br /> 2. L v t/ m� ®Unit 2 <br /> 3. <br /> 4. ®unit 3 <br /> S. <br /> P -r//111 <br /> I �CU�FA <br /> 7. Unit 5$. <br /> 1D. L( <br /> IIsi <br /> MonSpecific Date Range of Information Requested: From to In <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑■ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑� SOLID WASTE FA(:ILITYNEHICLE <br /> Q OTHER CLEANUP SITE(MON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> Q UNDERGROUND TANK(MONrTORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> Q ABOVEGROUND TANK ❑CHICKEN RANCH)DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> 0 HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> 0 TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPUGATION SITES <br /> ❑TATTOO/13DOY PIERCING [j)COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW: MONDAY-FRIDAY 8:00 AM5:OOPM (EXCLUDING HOLIDAYS) <br /> 7. 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(2D9)464.0138 or mail to the address indicatedsabove. Address <br /> ranges will not be accepted -for additional assistance with file addresses,contact the EHD. Applicatiorls received after <br /> 3:00 pm will be processed the next business day. t <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointmentfor 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(applicatlon 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 a �licant. <br /> Futur file revie s bythe same ppiicant may require a$125 deposit prior tc review. <br /> •`£� F, �r�-;'k , '. r �rti�yC .' 'p f� p �f� `.` '�° .f i i f�fL :4"�4a'Nf .47:: <br /> IP, <br /> _ 9/4N2 <br /> Received Time Mar. 16. 2017 11 : 24AM No. 1040 <br />