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SEP-01-2009 12:01 From To: 12094640130 Paee:111 <br /> p �ry p� • <br /> DAIE RECEIVE <br /> � [A 6m p / SAN JOA©UIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ;; 01 <br /> ���� �9 Z(�') 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax; (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_ Nicole Cooksey. BUSINESS/AGENCY: Locks- Ouse Retail Group <br /> ADDRESS: 1840 San Miguel Dr Suite 206 CITY/STATE/71P: Walnut Creek, CA 94596 <br /> PHONE(i): (209) 477-4499 PHONE(2): FACSIMILE:(925) 937-7227 <br /> TENTATIVE'APPOINTMENT DATE: 9/i 2/1 1 Time: 1 0 a m <br /> (Ptita6t www iv uuyincxn 60ya tram unm v�nPPii¢mivu a,.unuum "Tcumu.c dy-.::pg:Ga L r'---li 1--- - <br /> ❑CHECK BOX TO EXPEDITE RE ST. 15 FE A H R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 9 <br /> fol <br /> Electronic Inrmation: ❑ List F]Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Strout Nflme City <br /> Unit I <br /> 1. 420 W. KettlMRd <br /> 2. alla E. Victo <br /> - "- Unit2 <br /> 4. <br /> nit 36. nit4 <br /> 8. Units <br /> 9. <br /> ❑Unit <br /> SpeclflC Date Range of Information Requested: From 2000 to current <br /> ENVIRONMENTAL,HEALTH t)EPARTMENT FILES <br /> IbI UNDERGROUND TANK(VST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILR'YIVEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDEROROUNO TANK(MONITORING/REMOVAL) CI DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK(YARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ©COMPLAINT RECORDS 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE Avon ARI F FOR REVIEW: MONDAY-FRIDAY 8:00 AwS:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un 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 tan (10) <br /> days atter 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 now application may be <br /> submitted when the file Is available. <br /> 4. Any fire 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. <br /> ~-- GIIO u3l ON"A <br /> EHD 96-08 <br /> e/1/11 <br />