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04/16/2009 06:34 FAX 20 473 0469 JOHN RISHWAIN 10001 <br /> DATE RECEIVED <br /> { SAN JO.AQUIN COUNTY <br /> EHD I_UG NUMBER <br /> aVE��D ENVIRONMENTAt., 1k.AI.1"'H <br /> DEPARTMENT' <br /> 604 East Main St.. Stockton, ('A 95202-2748 U <br /> APR 1 6 2009 'fele bone: (201)468-3420 Ftts: (209)464-()138 Web: www-sjgov.o cul <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE, APPLICATION <br /> APPLICANT: J,MBUSINESSIAGENCY: <br /> ADDRESS: "• —_— <br /> f r ct §'� ! /S ATE21P j ;c:. �<( ,' A s C.� 2S <br /> � t�.':. �}�G�{-t "�y —... <br /> PHONE(1): G?:: .. (c: .1_ _PHONE(2) _.—..--- — — FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: ','"/ Time: <br /> (Please allow 10 business days from date of plication submittal-'Tentative only-must be confirmed) <br /> 0 CHECK BOX TO EXPEE ITE REQUEST-$105.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA T _ - %Zi-•v,- DATE <br /> Electronic Information: List❑ Map-Description- �a <br /> FILE.ADDRESS . EHD USE ONLY <br /> _ ..,... .. ----- _ <br /> Street;t Stree. <br /> Q�? ve GC �1 N <br /> p J -oT l CT l tv' <F= � f�( v r rC'�,%`�z) '✓4'� Unit 2 <br /> L� <br /> _ VW <br /> Unit. - <br /> Unit 4 <br /> 6. <br /> 7. --- -- <br /> _ _...___-----.__.... ..._...._..__._._. Unit 5 <br /> 8. <br /> —9.— Unit 6 <br /> 10. <br /> Specific Date Range of Inform tion Requested: From _- _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O,UNDERGROUND TANK(UST)CLEA UP SITE(LOP) •,0 MOUSING ASATEMENT ,.�SOLID WASTE FACILITYNEHICI_E <br /> '.&OTHER CLEANUP SITE NON-LOP ,O FOOD FACILITY 0"�WASTE TIRE <br /> UNDERGROUND TANK(MONITORING REMOVAL) frCl fDOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERA�_T/Jpp ®CHICKEN RANCH P WVASTEWATER TREATMENT PLANT <br /> ""TIERED PERMITTED FACILITYptI MOTELIHOTEL PUMPER TRUCK/YARD/CHEM TOILETS <br /> PR'TATTOO/BODY PIERCING b POOL.iSPA LAND USE APPLICATION SITES <br /> '"EDICAL WASTE FACII_ITY(I M•OTHER(PLEASE SPECIFY) _ <br /> WELL AND SEPTIC PER T RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 7- List up to ten addresses in I he 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 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 t e next business day. <br /> 2. The EHD will notify the appl cant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of applica ion. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled actor ing(y. <br /> 3. A file that is actively being v forked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is a a(lable. <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 sa Ine applicant may require a$105.00 deposit prior to review. <br /> EHD USE ONLY <br /> _._.—....._ -- — ....__.-....- _......._..—_............ <br /> ***If You need further ass stance please contact DianeMartineza (209)466-3425 directly_"Thank YOU <br /> Flit)48-B6 <br /> _..._.. ........._......_...__....__..- -- 804/2(ros <br />