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02/17/2009 16:44 FAX 41595730 ' DUANE 610RRIS LLP-SF iJ002/002 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> CE i 1jENVIRONMENTAL HEALTH DEPARTMENT <br /> E00 East Main Street, Stockton, CA 95202-3029 <br /> FEB 1 v 2009 Telephone: (279)468-3420 Fax, (209)464-0138 Web:www.sjgo . d <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PER MF APPLICANT: PAIr��P �. �w���� BUSINESS/AGENCY: 'I�U—^4- YV kA rl-'% UP <br /> ADORES$: Mu+*++ �/1e yy�`0„vim S I , Zdt Gly/staterz�p .S,r� �"t,liev�_� C�1 /-q4k r <br /> PHONE(1): YI S- Z 30� _ PHON,Ilt(2): `� �' ?�` 3605 FACSIMILE: �1� I' <br /> TENTATIVE'APPOINTMENT DATE: Vv�'t � f �L dD �[ Tlmo; 10 cr�) <br /> (P(ease allow 10 bualmsa days from data of application submittal-'Tentative only-muat be Conflrmad) <br /> ❑ CHECK BOX TO EXPEDITE REOUESFWfA R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE t - <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# Stmat Name City <br /> ❑ Unit 1 <br /> 1. (4`13 Na r�irs <br /> 2. N� Unit� �rluG _ S/J�k1�� ` < �'P ❑ . <br /> 1etd T _ fTxk4o <br /> Unit 3 <br /> 4. <br /> 5. <br /> Unit 4 <br /> 6. <br /> 7, <br /> r ❑ Unit 5 <br /> 8. <br /> ❑ unit 6 <br /> 10. <br /> Specific Data Range of Information Requested!From to ` er-� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> RNDEAGROUND TANK(UST)CLEANUP SITF(LOP) ❑HOUSING ABATEMENT 13 SOLID WASTE FACILITY/VEHICLE <br /> HER CLEANUP SITE(NON-LOP) C3 FOOD FACILITY 11 WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) IC Doti KENNEL DAIRY <br /> tHAZARDOUS WASTE GENERATOR M CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY C7 MOTEUHOTEL C3 PUMPER TRuCKIYARD/CHEM TOILETS <br /> C1 TATTOO/BODY PIERCING 0 POOL/SPA in LAND USE APPLICATION SITES <br /> E3 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT REC5RD9 ARE AVAILABLE FOR REVIEW - MONOAY-FRIDAY 8:00 AM-S:DOPM -EXCLUDING HOLIDAYS. <br /> 1. List up to ton addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209).4k4-Q1 18 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with rile addresses,contact the EHD. Applications received after <br /> 1-00 pm will be processed the ne-t business day. <br /> 2. The EHD will notify the applicant f any EHD fllAs exist. An appointment for ravlaw will be confirmed approximately ten(10) <br /> days after receipt of application. Tho files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A fila that is actively being worked on by END 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 some tolldition as released will be reorganized by END staff at the expense of the applicant. <br /> - Future flte-revlews•by the same applicant-may require a$105.depaait prlorlo ravlew__._ -.. rs_ <br /> EHD USE ONLY <br /> EHD 48-06 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />