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11 -Jan -2006 02:25pm from-Younadah )sultina Group, Inc 916 933 6482 T-232 P.001/00`, F-779 <br />DATE RECEIVED EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />V 304 East Weber Avenue, 3"d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 4640138 Web: www.sjgov.org/ebdr <br />+ ? �s ? <br />PUBLIC RECORDS RELEASE APPLICATION <br />TENTATNE* APPOINTMENT DATE: rime: <br />(Please allow 10 buslnew days from date of application submittal -'Tentative only - must be confirmed) <br />Lo CHECK BOX TO EXPEDITE RE T - §93.00 EE (C R CHfLK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DA <br />SIGNATURE OF APPLICAN DATE <br />Specific Date Range of Information Requested: From <br />-. <br />ENVIRONMENTAL HEALTH DEPARTMENT FIILES <br />NDERGROUND TANK (UST) CLEANUP SITE (LOP) M HOusiNG ABATEMENT <br />U <br />IS S/OLID WASTE FACILITYNEHI E <br />GRCLEANUP SITE (NON -LOP) FOOD FAcIL1TY <br />❑ WAM TIRE <br />NDERGROUND TANK (MON(TORNWREMOVAL) 0 DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH <br />❑ WASTEWATER TREATMENT PLANT <br />D TIERED PERMITTED FACILITY LI MOTELJHOTEL <br />� <br />f - <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILrrY Q OTHER (PLEASE sPECIr"r) <br />WELL AND SEPTIC PEReerr FiECORDs ARE AVAILAaL r FOR RLmEw . MONDAY -FRIDAY 8:00 AOA-S:OOPM • EXCLUDING HoUtmA, s. <br />rim <br />Mf <br />Specific Date Range of Information Requested: From <br />-. <br />ENVIRONMENTAL HEALTH DEPARTMENT FIILES <br />NDERGROUND TANK (UST) CLEANUP SITE (LOP) M HOusiNG ABATEMENT <br />U <br />IS S/OLID WASTE FACILITYNEHI E <br />GRCLEANUP SITE (NON -LOP) FOOD FAcIL1TY <br />❑ WAM TIRE <br />NDERGROUND TANK (MON(TORNWREMOVAL) 0 DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH <br />❑ WASTEWATER TREATMENT PLANT <br />D TIERED PERMITTED FACILITY LI MOTELJHOTEL <br />❑ PUMPER TRUCK/YARD/CHEM TOr.ETs <br />❑ TATTOO/BODY PIERCING In PDOUSPA <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILrrY Q OTHER (PLEASE sPECIr"r) <br />WELL AND SEPTIC PEReerr FiECORDs ARE AVAILAaL r FOR RLmEw . MONDAY -FRIDAY 8:00 AOA-S:OOPM • EXCLUDING HoUtmA, s. <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <br />indicated above. Address ranges will not be accepted — for additional assistance with file addresses, contact <br />the EHD. Applications received after 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 <br />approximately ten (10) days after receipt of application_ The files will be held for a maximum of five business <br />days for review. Appointments 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 <br />application may be 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 <br />applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />crw ua�z�vu <br />7 h VOS <br />