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I <br /> APR 16,2008122:22 000400-00000 page I <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> PP, 1 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> C 600 East Main Street, Stockton, CA 95202-3029 <br /> ENViRO('-:J}'v!'Li ( Iiw��THTelephone: (209)468-3420 Fax: (209)464.0138 Web:www.sjgov,v /eh <br /> 5 <br /> PES .iT/S lj,cE <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT! T eUSINES$IAGENCY: 61;e*45 <br /> 45 <br /> ADDRESS: r q <br /> PHONE(11:A • 171 PHONE(2): . FACS1MIt E: <br /> TENTATIVE"APPOINTMENT DATE: Tlma= ` <br /> i (Please allow ten badness days from date of Applicaflon submittal-•Tentative only-moat be confirmed) <br /> © CHECK(BOX TO EXPEDITE REAtIES - F (CASH OR CHECK ONLY)-REQUEST PROCIESSED IN THREE BIISI1) SS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESB <br /> END USE ONLY <br /> Stn,9t>x Strout Name City Unit i <br /> r e►�rl�op� 5t. <br /> 111,E t� — 171Unit 2 i <br /> ti <br /> nit s <br /> nit 4 <br /> s. <br /> w. <br /> < - 11 unit 5� <br /> r <br /> nit 6 <br /> I. p YI c <br /> 4 Specific Date Range of Information Requested:From fLr.�COY r�_� �i�llr• <br /> i <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> UNDERoRuuND TANK(USTI CLEANUP SITE(LOP) CO Ho6slNd ABATEMENT SOL{12 WASTE FACILITYIVENICLE <br /> i OTHEA CLEANUP SITE(NON-LOP) ❑FOOD FACILITY A$TE TIRE <br />' �UNDERGAOUND TANK(tI!IONITpRiN01REMOVAt) in DOC KENNEL - O DAIRY <br /> i AZARDOUS WASTE G�NEAATOR 17 CHICKEN RANCH 4 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY M MOTEiMQTEL 1=PUMPER TRUCFf/�fAROICHEIN TOILETS <br /> O TAt7pa/$Oov pIERGNG 0 POOLISPA CI LAND{ISE APPLICATION SITES <br /> I O MEDICAL WAST9 FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AYAILADLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-6.0opm. EXCLUDING HOUDAYS. <br /> i 1. List Up to ten addressee in the space above. S l9ct the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected, fax to I209 -073 m o the ova dr Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Appllcations received after 3:00 pm will <br /> be processed the next business day. <br /> 2. The EHD will notify the appllCant If any EHD tiles exist. An appointment for review will be confirmed approximately ten <br /> days after receipt of application. The files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> i 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 /> I 4. Arty 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 /> N)454, <br />{ PUBLIC RECORDS REIAIIE APP FORM <br /> I <br /> 4 <br /> k <br /> h <br />