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IN <br /> No DATE RECEIVED HD LOG PLUMBER <br /> SO SAN JOAQUIN COUNTY FiLl C <br /> (� ED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> FEB 13 2013 <br /> P'DISLIC RECORDS RELEASE APPLICATION <br /> APFF061ANT'f_Ap,j,- jbj..Cr BUSINESSIAGENCY: <br /> ADDRESS: 7,-971 CITY/STATE/ZIP: " �15- , <br /> PHONE(1): ,� �, '], i7 Z5 PHONE (2): _, FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: s Time: ��, � f <br /> �� A <br /> (Please allow 10 business days from date df applica ion submittal-`Tentative only-must be confirmed) <br /> ❑ ChLECK BOX TO EXPEDITE REQUEST-$1 FE (CAS CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# i Street Name City <br /> El Unit 1 <br /> R7 G <br /> 2. p CIS 'u,it2 <br /> 3. <br /> 4. <br /> UnIt 3 <br /> 5. <br /> 6. <br /> Unit 4 <br /> 7. } <br /> /-El Unit 5 <br /> 9. <br /> J nit E <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) E]HOUSING ABATEMENT WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIR.EMOVAL) [:]FOOD FACILITY E]DAIRY <br /> BOVEGROUND TANK F1 CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS E]MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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 beast one file type MUST be selected. Fax to (2091464-0138 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$125 deposit prior to review. `"`BbxED AREA:E:ND.USE ONLY <br /> 0 Records provided by Staff-PPR Complete.Staff Name: <br /> EHD 4845 914/12 <br /> Received Time Feb. 13, 2013 1 : 1.5-P—M No. 2313 <br />