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Aug. 10.2011 08:59 WESTON SOLUTIONS INC OAKL 51089199 0 PAGE. 1/ 1 <br /> RECEIVED <br /> DATE RECEIVED EHD LOG NUMBER <br /> AU�r 0 2011 SAN JOA4UIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIRONMENTAL HEALTH600 East Main $t, Stockton, CA 95202-3029 <br /> PERMIT/SERVICES Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sjgoV.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ( � 1 BUSINESS/AGENCY: fViML <br /> ADDRESS: (��` - �a"1 i,4d��Ivj- ' CITYISTATE/ZIP: <br /> PHONE(1): X60 $ '380- PHONE�yt,` FACSIMILE: <br /> TENTATIVE*APPOINTMENTDATE: I `i1r36�� Time: <br /> (Please allow 710 business days from da of ppllcatt - Ion submittal-*Tentst/ve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE RE:M 12 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT— 11L a DATE <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> �rStreet 0 p< Street Name City <br /> _.�.•.._ IVIv <br /> unit <br /> nh _�L-O r .. .................__-.. . ...._......_D <br /> 2. <br /> nitlt <br /> 4. <br /> 5, <br /> 6. <br /> T <br /> _ml4 <br /> 8. <br /> ❑Unit <br /> 8. <br /> 10. <br /> Unit 8 <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> INDERGR <br /> DERGROUND TANK(UST)CLEANUP SITE(LOP) L7 HOUSING ABATEMENT OLID WASTE FACILITYNEHICLE <br /> Til <br /> ER CLEANUP SITE(NON-LOP) ElFDDD FACILITY WASTE TIRE <br /> OUNAN TOROI'/REMOVAL)) ❑DOG KENNEL AIRYARDOUSWASTEGENERATORCHICKEN RANCN ASTEWATER TREATMENT PLANT <br /> REDPERMfTTED FAC WTYF-1MOTEL/HOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> 7TOOIBODY PIERCING ❑POOL/SPA ND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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 types)of files from the list above by checking the appropriate <br /> box(es). Al least one file type MUST be selected. Fax to(209)464.0133 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$122 deposit prior to review. <br /> ENDaaEONLY <br /> i <br /> "'"•�D7120110 <br />