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MhK I ZVVO L:7/ M W EARTH TECH NO. 5926 P. 2 <br /> n'fli FFP F <br /> tr ULV1 <br /> VED.- SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> FNVIRONNMNTAL JBIBALM DDPARTN= <br /> ENV1R0N.kJE-i%`T` 1-i-EALTH 304 East W ' <br /> 'Weber Avenue,3Floor,Stockton,C.A.95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web*www.sigov.org/ehd <br /> PUBLXC RECORDS RELEASE APPLICATION <br /> APPLICANT: 124W 64CS <br /> SIN AGENCY:6>1&ft E <br /> ADDRESS, 'FRAY elf- (At <br /> PHONE(l): -_PHONE(2): -I-FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: <br /> (Please allow 10 business days from d a cat Time: <br /> REQUEST Ion submittal-"Tentative only-must be confirmed) <br /> 0 -RE12UEST PROC ES <br /> CHECK BOX To EXPEDITE RE T $93.0 FEB CHECK ONLY) SED IN j BU91NEW DAYS <br /> 4T <br /> �r <br /> SIGNATURE OF APPLICAVT-'\ DATE <br /> W <br /> LUNIT bISTR18UTION a Unit 1 0 unit 2 13 udlt)��Unft�4r3 Unit 5 0 Unit 5 1:3 Other(olacb-onicilista/maps) <br /> FILE AdDRESS <br /> streets Street Name itY END USE ONLY <br /> -l_ <br /> l_&AejQ7 <br /> F <br /> 2. <br /> 3. is <br /> F4. 117 f-R_C4AQ(W I <br /> f, A* <br /> L 6. C n e_6.1 s4 tP <br /> 7 '7 0 1 <br /> a — loo 50 <br /> a. 4Z <br /> 9 9 Log <br /> 6 <br /> . <br /> 1 maw.. <br /> . I— A.A <br /> , W Ji&JWJ fj A, — - <br /> -Specific Date Range Of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 10UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT irsluo WASTE FA*iLr7y1VEmic6E <br /> OTHER CLEANUP SITE(NoN-Lop) 13 FOOD FACILfty <br /> SPNOERGROUND TANK(MON1TOPjXWRwovAL) 13 WAM TIRE <br /> FLVARDOUS WASY1 GENERATOR 0 DOG KENNEL Cl DAIRY <br /> MERCD PERMITTED FACILITY E3 CHICKEN RANCH WASTEWATER TRSATMEKT PLANT <br /> IM MOTELIHOTEL ❑PUMPER TRUCIIJURDICHEM TOILETS <br /> C3 TATToolsooy PIERCING 0 POOLISPA <br /> MEDICAL WASTE FACILITY 0 OMER(PLE"11 SPECIFY) <br /> LAND USE AppucATjoN SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6:00 AM-S.-OopM . EXCLUDING HounAys. <br /> 1. List up to ten addresses in the space above. Select the type($)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 /> Z The EHD will notify the applicant If any END 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 END 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 END staff at the expense of the <br /> applicant Future file reviews by the same applicant may require a$93.00 deposit prior I <br /> ri to reyew. <br /> k <br /> EHD 66-02-006 " <br /> 1/14M5 <br />