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DD Nve <br /> SAN JOAQUIN COUNTY EHD LOG'NUMBER <br /> i Q 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> ErdVIR"'ME(NTHEALTH Telephone: (209)600 468-34 0 Fax: (209) 464-0 38 Web: w . <br /> Main St. Stockton, CA �ww.s' ovor <br /> PERMIT/SERVICES Jg g/e q <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MATT SMALLEY <br /> 724 VALI,I 70 WAY BUSINESS/AGENCY: TAELTA <br /> ADDRESS: <br /> PHONE(1): 916 446 3803 PHONE (2): CITY/STATE/ZIP; SACRAMENTO <br /> TE' TAT/VE*APPOINTMENT DATE: FACSIMILE; 916 638 8385 <br /> (Please allow 10 business days From date of a Tt be. <br /> pplication submittal-'Yenta(/ve only.must he confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$11 EE(C . H OR CHECK ONLY) <br /> SIGNATURE OF APPLICANT ��f REQUEST PROCESSED IN 3 BUS(NE$$GAYS <br /> DATE 12_- __4,0--0q <br /> Z <br /> Electronic Information: (� List❑ Ma t� <br /> Map-Description: <br /> FILE ADDRESS N <br /> w Street# EHD USE ONLY G <br /> _ .. Street Name City o <br /> __--- <br /> 1. 6100 -- <br /> HY7Y 99 NTH <br /> 2. <br /> 1617 FREMONT W <br /> 3 321-2CALIFORNIA <br /> _ STOCKTON \ <br /> CAI I EORNIA STSTOCKTON ---- — O unit 2 (,\ <br /> 4. 16470 CAMBRIDGE DRIVE LATHROp <br /> 5. 3978 HWY 99 STH Aft( <br /> STOCKTON , <br /> V <br /> 7. / . <br /> r <br /> 9. � Q Unit 6 <br /> Specific Datc Range or Information Requested: from ALL — <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to PRESENT <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) F1 HOUSING ABATEMENT --�— <br /> OTHER CLWIUP SITE(NON-LOP) L]FOOD FACILITY SOLID WASTE FACILITY/VEHICLE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOa KENNEL WASTE TIRE <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH Q DAIRY <br /> ®TIERED PERMITTED FACILITY ❑MOTEL/H ❑WASTEWATER TREATMENT PLANT <br /> OTEL <br /> ❑TATTOO/BODY PIERCING El PO TELIH ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑ MEDICAL WASTE FACILITY El OTHER(PLEASE SPECIFY) 0 LAND USE APPLICATION SITES <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List u to ten addresses In the space above. Select the typ00)of flies from the list above by checking the appropriate <br /> box(es). At feast one file type MUST be selected. Fax to(208)444 013E or mail to the address Indicated above Address <br /> ranges will not be accepted -tor additional assistance with file addresses,contact the EHD. Applications received after <br /> 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 approximately ten (10) <br /> days after receipt of application. The files will behold 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 Immedlately available for review. A new application may be <br /> Submitted when the Ale is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant, <br /> Future 1110 reviews by the same applicant may require a$115 deposit prior to review. <br /> S. It you need further assistance, please contact Diane Martinez,at(209)46&•3426. <br /> EHD USE ONLY <br /> ED48.08 <br /> ef�7roy <br />