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TO'cl ldlol <br /> DATiJ CEL E OVE0EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> FEB 7 2008 ENVIRONMENTAL HEALTH DEPARTMENT I <br /> ... , /J <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> [f;Wohone: (209)468-3420 Fax: (209)464-0138 Web: www.sj OV.Ot chd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: S h�vY ,� S BU (-ftSINESSS,IAGG, `ENr1 <br /> ' C`Y: ��S <br /> ADDRESS:'.. o I G. <br /> 1 2ZV VQYtC..�(�—d _Y LO 'I Z-' <br /> PHONE(1);C�tp-'313rt)-qCt71. - -. PHONE(2):t".'�l l'7 ✓ -51 FACSIMILE:6a(—)-1TS�"a�l�d0 <br /> TENTATIVE*APPOINTMENT DATE: O Time: <br /> (Please allow 70 business days Prem dat of applioation submittal-•Tentative only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 0 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �@A l ? n r OQtJ( - DATE c -17g <br /> Electronic information: R List C] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> StreatN Street Name City ❑ Unit1 <br /> ,. Qa+ e �m,Ne� - CkAmrA <br /> j a <br /> 4. <br /> El Unit Y <br /> 2. _ <br /> 3• S Unita rI <br /> Unit4 \� <br /> 6. <br /> T ❑ Units <br /> 9. _ ❑ Units <br /> 10. <br /> Specific Date Range of Information Requested:From to �CliJ 3 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> •UNDERGROUND TANK(UST)CLEANUP Sire(LOP), (3 HOUSING AOATEMENT 0 SOLID WASTE FACILITY/VEHICLE <br /> •OTHER CLEANUP SITE(NaN-LOP) ©FOOD FACILITY O WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 11 DAIRY <br /> ■ HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY 0MOTEIHOTEL ❑PUMPER TRucKNARDICNEMTOILETS <br /> In TATTOOISODY PIERCING ❑POOUSPA ❑LAND USE APPLIC�A..TIIONSITE$ <br /> I9 MEDICAL WASTE FACILITY ®OTHER(PLEASE SPECIFY) B2=M tr A e� �p1 rtJ I y <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 type(s)of Hies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464 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 recervEd 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 althe expense of the applicant, <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> E0"46 WEa OIBd00] <br /> l <br /> TO/T0'd 8866 092 OTS ti0 `QNU-1AIJO HS1,13 £T:ET 8002-L,E-83d <br />