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04/11/2005 09:08 209-579-0?25 P10DESTO ATC {+PAGE C2 <br /> EHO LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENTE1 .� <br /> 304 East Weber Avenue, 3"1 Floor,Stockton,CA 95202-2708 <br /> Telephone.(209)468-3420 Fax: (209)464-0138 Web: WWOkV eh <br /> �� <br /> PUBLIC RECORDS RELEASE APPLIC4QQN,1,. <br /> APPLICANT: J�•�•-• K d t <br /> BUSiNESSl/A { i11 s7 iS;fcs <br /> ADDRESS: t(t-} l.oM Ave S ,�t I V <br /> � •4�s�o � <br /> PHONE(1): 1-ocl - S-)9 -���'I PHONE(2): 2 1 <br /> FACSIMILE: tON-5�4'Z22s <br /> TENTATIVE"APPOINTMENT DATE: <br /> 4 - l -o 7 Time: <br /> (Pteasa apow 10 business days from date of application submittal-"Tentadve only-must <br /> be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> SIGNATURE OF APPLICANT — <br /> ION ❑ Unit 1 ❑Untt 2 O Unit 3 0 Unit 4 E3 Unit s ❑ Unit 6 c3 other(electron c1II%Wmaps) <br /> UNIT DISTR�UT <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city <br /> WF"jr.o `�2. 19 v� W.. S4CIJW,4. 2005r.vS �S. r94•lcirc Sl,.�ch� <br /> -r. 4.,i s ti r <br /> 11.1r_ <br /> B. let 1 <br /> 9. j <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> UNOERGROUNO YANK(UST)CLEANUP SITE(LOP) ❑F000 FACILITY C3 WASTE TIRE <br /> OTHER CLFJINUP SITE(NOM LOP) 0 FOO KENNEL DAIRY <br /> UNOEROROUND TANK(MON9TORIWUREMOVAL) 0 DOG KEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE GENERATOR 0 MOTELIHOTEL 0 PUMPER TRUCKIYARDICHEM TOILETS <br /> TIERED PERMITTED FACILITY 0 POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOiBODY PIERCING <br /> ❑MEDICAL WASTE FACILITY C3 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-S:OOPM - EXCLUDING HOUOAYB. <br /> 1. List up to ten addresses in the space above. Select the type(s)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 additionai assistance with file addresses, contact <br /> the EHD.Applications received after 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 <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 EHD 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 to review. <br /> EHD 4041-004 <br /> Un4M <br />