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OM ERAS Environmental. Inc. <br /> (FRI>JVL 27 2072 l7:" QST. 77:38/No.7600000849 P 7 <br /> rRWEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL_ 2 7 Z01?- 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH rp <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: v, BUSINESS/AGENCY: - <br /> rail <br /> ADDRESS: CITY/STATE/ZIP: <br /> PHONE(1): 2 PHONE(2 : FACSIMI E <br /> 4 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business from to pp Idation submittal-•Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REU -$125 E( S HECK ONLY)-REQUEST PROCESSED IN BUSIN SS DAYS <br /> SIGNATURE OF APPLICANT DATE]j �✓ <br /> Electronic Inforrnation: ❑ List[] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name city El Unit 1 <br /> 1. <br /> 2. 2, <br /> 3. Q Z Unit 2 <br /> 4. f- <br /> nit 3 <br /> [7.. <br /> nit 4 <br /> El <br /> . <br /> Unit 5 <br /> 9. <br /> 110. 1 Ej <br /> Units <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> . UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [I HOUSING ABATEMENT ❑SOLID WASTE FACILITYNE_HK LE <br /> ❑K OTHER CLEANUP SiTE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> NDERGROUND TANK(MONiTORING(REMOvAL) ❑DOG KENNEL ❑DAIRY <br /> NIERED <br /> AZARDOUS WASTE GENERATOR [_1 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOiBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Aiii-5:00PM(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. <br /> EHD 48-08 <br /> 8f 1111 <br /> Received Time Jul. 27. 2012 11 :48AM No. 0661 <br />