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02/17/2009 16:44 FAX 41595730 DUANE MORRIS LLP-SF U 002/002 <br /> MD J�(�(��DAT��E RECEIVED <br /> � EHD LOG NUMBER <br /> ul \"'L`�li 11 EFDj! ENVIRONMENTAL HEALTH DE ARTMENT <br /> E00 East Main Street, Stockton, CA 95202-3029 <br /> FEES 1 v 2009 Telephone., (279)468-3420 Fax; (209)464-0138 Web:www.sjgo . d <br /> ENVIRONMEW HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERM APPLICANT: M tc-VA J a. n.`1-2aIP„ BUSINESS/AGENCY: <br /> VVI <br /> �� � r ,JL. afC'iJ LC.� <br /> ADDRESS: 0'� (MoAA%..'S� S4e.n,+;2,_tA S.I*a 2-am city/statelzip S1nl /y r4PAC`TC /u / -v4&5" <br /> PHONE(1): Y(S- O _ PHONIE(2): `�Z S fs 7�` 3 GC5 FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: yV 't -- aL Time: U <br /> L <br /> (Please allow 10 business days from date of applleatlon submittal-'Tentative only-must be Confirmed) <br /> D CHECK BOX TO EXPEDITE REDUES FErr(�A R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Z f - <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE A_DDRESS _ EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. (4`13 Nam r"I'dS+ate"V% `c <br /> hrt�AG Unit <br /> 3. (` S6 I A - <br /> T - Unit 3 <br /> 4. _ rj <br /> 5. <br /> — - �-�-^^---- Unit4 <br /> 6. <br /> �� ❑ Unit 5 <br /> 6. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Data Range of Information Requested:From I T 6 Y to Prel"44 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITY/VEHICLE <br /> HER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> fNDEROROUND <br /> DERGROUND TANK(MONITORING/REMOVAL) d Doo KENNEL C1 DAIRY <br /> tHAZARDOUS WASTE GENERATOR d CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY Ca MOTEUHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> d TATToolBonY PIERCING n POOLISPA LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY d OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECJRPS ARE AVAILABLE FOR REvIEw -MONDAY-FRIDAY 8:00 AM-S:OOPM - EXCLUDING HOLIDAYS. <br /> 9. List up to ton 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 mall 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 no-,t business day. <br /> 2. The EHD will notify the applicant f any EHD files exist. An appointment for review will be confirmed approximately tan(10) <br /> days after recelpt 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 zondition 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />