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D(D44oD <br /> SAN JOAQUIN COUNTY END LOG'NUMBER <br /> Utt; 3 0 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 Eas8-3 Main St. 209)Stoc4 4 01 8 Web: <br /> �� <br /> E�dVIRONft4cNTHEALTH Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e d <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT' MATT SMALLEY PELTA <br /> BUSINESS/AGENCY; <br /> ADDRESS: 724 VALLE,70 WAY <br /> CITY/STATE/ZIP: SACRAMENTO <br /> PHONE(1): 916 446 3803 PHONE (2): FACSIMILE; 916 638 8385 <br /> TENTATIVE`APPOINTMENT DATE: <br /> (Please allow 10 business days from datefapp <br /> ollcatwn submitter• Tenfadve onlyTime: <br /> •must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE REQUEST-$I I EE(CfeSH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT / U!! DATE I Z,--'l)-0I( <br /> Electronic Information: []List Ij Map-Description; <br /> FILE ADDRESS END USE ONLY <br /> Street k Street Name City <br /> _�-- - <br /> 1. 6100 HWY 99 NTH __Q---- <br /> 2. 1617 FREMONT W STOCKTON \ <br /> 3. 3212 CALIFORNIA ST STOCKTON 0Unit 2 <br /> 4. 16470 CAMBRIDGE DRIVE LATHROP \ <br /> 5. 3978 HWY 99 STH STOCKTON ri•, <br /> 6. <br /> 7. <br /> 8. <br /> 9. .. Unit6 <br /> Specific Date Range of Information Requested: From ALL to PRESENT <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNOEROROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACIUTYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIRENOVAL) ❑DOO KENNEL 0 DAIRY <br /> ®HAZARDOUS WASTE GENERATOR El CHICKEN RANCH ❑WpSTEIYpTER TREATMENT PLAN T <br /> 0 TATTOO/BODY PIERCING TIERED PERMITTED FACILITY 0 MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> 0 POOLISPA <br /> ❑ ElMEDICAL WASTE FACILITY LAND USE APPLICATION SITES <br /> El OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. ListuD to ban addresses In the space above. Select me types)of flies from the list above by checking the appropriate <br /> box(es). AI least one file type MUST be selected. Fa>S to(2091484-0136 or mail to the address Indicated above Address <br /> ranges will not be accepted -for additional assistance with ilia addresses,contact the EH D. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant If any END Nes exist An appointment for review will be confirmed approximately ten (1D) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> Should be scheduled accordingly. <br /> 3. A Tile 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 same condition as released will be reorganized by END staff at the expense of the applicant. <br /> future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 6. If you need further assistance, Please contact Diane Martinez,at(209)4684426. <br /> END USE ONLY <br /> EMD e3-08 <br /> &*Tm9 <br />