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DATE RECEIVED EHD LOG NUMBER <br /> � SAN .10AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: vwwv.sjgov.org/ehd <br /> 3; �,o Pm <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: HAFIZA SALEHBHAI BUSINESSIAGENCY: BOARD OF EQUALIZATION <br /> ADDRESS: 121 SPEAR STREET, SUITE 460 CITY/STATE/ZIP:SAN FRANCISCO,CA 94105-1584 <br /> PHONE (1): 415-396-9158 PHONE (2): FACSIMILE:415-356-6298 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ® CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT SEEATTACHED',LETTEDATE 516113 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name CityUnit 1 <br /> Itk1. 2008/W BENJAMIN HOLT STOCKTON <br /> VOL2. ❑ Unit 2 <br /> 3. <br /> 4. Unit 3 <br /> 5. <br /> 6. F ❑ Unit <br /> 7. <br /> 8. ❑ Unit 5 <br /> 9. <br /> 10. 'M�ACCOUNTING <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHI L <br /> ❑OTHER CLEANUP SITE(NON-LOP) E]HOUSING ABATEMENT ❑WASTE TIRE �( o/a7 � <br /> F-1UNDERGROUNDTANK MO NITORINGIREMOVAL)K ®FOOD FACILITY ❑DAIRY gee id(�1j1W ; 3 <br /> ❑ABOVEGROUND TANK r ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND 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 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 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. ***BOXED AREA-EHD USE ONLY***/ <br /> - x-I �3!` I I J <br /> PP <br /> ❑ Records provided y Staff-PPR'Complete. Staff Name: � > 7 rot <br /> EHD 48-06 ,1,k�"Pq(I 6&j14112 <br />