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ca��A2c� EHD LOG NUMBER <br /> H13�GHwH43WNGUAN3 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> £40Z S 9 ddtl 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd Cl�'ql <br /> CAAGO PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:vAmft BUSINESSIAGENCY:Canino ATC <br /> ADDRESS: 1117 Lone Palm Avenue Suite 201 CITYISTATEIZIP:ModeetD,CA96361 <br /> PHONE(1): (206)879 421 PHONE(2):(E ) -MO FACSIMILE:(209)679=5 <br /> TENTATIVE*APPOINTMENT DATE: Mondayloays,2013 Time: 10:O0am _ <br /> (Please allow 10 business days from date of applicationsubmittal-*Tentative only-must be eonftMWKQ <br /> ❑CHECK BOX TO EXPEDITE REQ ES 125 F��[C�} RY)i REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �I/[ DATE AMI x1,2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Unit 1 <br /> 1. 714 N. Hunter N11<1- Stockton <br /> 2. 715 N. Hunter Stockton p Unit 2 <br /> 3. 804 N. Hunter Stockton <br /> 4. 819 N. Hunter Lq a' ockton nit 3 <br /> 5. 706 N. EI Dorado S Z Stockton -Dt.s 14S <br /> 6. 713 N.EI Dorado p Stockton 26')c )3(..I 141 Ai vita <br /> 7. 725 N. EI Dorado Stockton 2 FT Sree.�- <br /> 8. 804 N.EI Dorado y%K-1 Stockton J J� �f L I J%3a1 ©Units <br /> 9. 212 W. Poplar h,•(y Stockton 0S 1k. 7& , J J3 <br /> 10. `( <br /> ❑Units <br /> Speciffc Date Range of information Requested: From _ to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUTYIVEHICLE <br /> ❑■ OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑■ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑■ ABOVEGROUND TANK Q CHICKEN RANCH/DOG KENNEL ❑WASTEWATERTREATMENT PLANT <br /> HAZARDOUS WAsTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDiCHEMICALTOILETS <br /> TIERED PERMITTED FACILrrY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING A COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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 END 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$126 deposit prior to review: ***BOXED AREA-EHD USE ONLY"* <br /> ❑ Records provided by Staff-PPR Complete.Staff Name: <br /> EHD 48-06 914112 <br />