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From: 0 08/2117 17:07 #729 P.001/001 <br /> 2094640138 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> �J LL J <br /> SAN.�OAQUIN COUNTY EHD LOG NUMBER <br /> AUG 2 2 2007 ENV600 East <br /> HEALTH DEPARTMENT �� <br /> 600 Bast Main Street, Stockton,CA 95202 <br /> ENVIRON%^ENT HEA!RtelephoRe: (209)4683420 Fax;(209)464-0138 Web: www.sjgov.o <br /> PERM T6ERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: r,S ""'�' - __ BUSINEr,S,SIAGENCY: .CSS/•y NG <br /> ADDRESS: cc���,,,.0.. TT� 7 �'f-t CY.S-Z <br /> PHONE(1): L•IIGI J .]./•'t!76L I (2): 909 <br /> ?33-_ o y 5 <br /> TENTATIVE`APPOINTMENT DATE: Time: Mai fto <br /> (Ploase allow TD busineSS days from date of application Submittal,* only-must be Confirms <br /> CHECK BOX TO EXPEDITE REQUES "�SB . C FEE(P H O CHECK ONLY)-REQUEST PROCESSED INt-3 BUSINESS BAYS 'wry <br /> SIG ATI <br /> OF APPLICANT DATE <br /> Electroniclnformatlon: © ListOMap-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# _ Street Nam City - ❑ Unit i <br /> ,. S�r,(, G plz ...c k .29 7 <br /> 2. gCrc) )D6-Gl%A'c /T NLe -2957 El unkz <br /> 3. A- unit3 <br /> ..4Z�� �Yd-G-i rG o2 <br /> 5. <br /> 6. r� <br /> �J �� -- I — U. <br /> �fJ�' J z`' v <br /> 7- 6 L1 Z�—w �J�}L t�JK_ ❑ Unit 5 <br /> g• J�f)� _ 1•°'l C-O�M UAL <br /> © Unita <br /> ,D. 6 72s' �c-a�L'r <br /> Specific Data Range of Iniormation Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FI S <br /> ' UNOEflORWND TANK(U6T)GLRANUP SITE(LOP) �HOU$ING ABATEMENT mWASTE FAC0.ITYNEMCLE ' <br /> Is <br /> ER CLCANUR 617E(NON•LOP) ❑FOOD FAGILRY TE TIRE <br /> UNDERGRODNO TANK(MONITORING IREMOVAL) ❑DOG KENNEL DAIRY <br /> H=RDOUS WASTE GENERATOR 13 CHICKEN ❑WASTEWATER TREATMENT PLANT' <br /> 0 TIERED PERMITTED FACILITY O MOTEC7 PUMPER TRUCKIYARDICHEM TOILETS <br /> 0 TATTOOMODY PIERCING O PCOaSPA 0 LAND USE APPLICATION SITES <br /> In MEDICAL WASTE FACILITY ❑OTHER(PL %SPECIFY) <br /> WELL AND SEPTIC PENMrr RECORDS ARE AVAILAaLE FOR REVIEW- MONDAY-FRIDAY&DO Aa-8:11BPM . EXCLUDING HOLIDAYS. <br /> ,, List up to ten addresses In tho space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file We MUST be selected. Fax to(209)464.0138 or mail 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 next business day. <br /> 2. The EHD will notity the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The riles will behold fora maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A Rio that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted wham the file is available. <br /> 4. Any file not returned In the same Condition as released will he reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the aarnoppplicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br />