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04/24/2007 08:56 5302441 LAWRENCE ASSCCIA PAGE 01 <br /> UATE REOEIVED - EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMFNTAL HEALTH DEPA.RTMF,NT <br /> G00) . Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:w .sjgov.org/ d J <br /> PUBLIC RECORDS RELEASE-.A PPLICATION i r <br /> APPLICANT: USINES AGENCY: <br /> ADDRESS:_-7-001 (Mme- <br /> PHONE(1); 57�O-7-'{t{'-Q'7 0S PHONE(2): SIMILE:I <br /> TENTATIVE'APPOINTMENT DATE: 5-13/07 e:L�f�J DEyp "1 4.•M1L 4- ZP�A,- <br /> (Please allow 10 business days from date of appl codon a e my,-must he confirmed) <br /> CHECK BOX TO EXPEDITE REQ ST-E95. CASH 0 -REQUEST PROCESSED IN 3 BUSINESS DAYS G-Je ACJglC <br /> SIGNATURE OF APPLICANT, GATE ( ,- <br /> Electronic information: ❑ Lis Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street tR Street Name city ❑ unit f <br /> 1. r 09192, <br /> .A*Jr trn�, F c <br /> 2. J to U t..{2. n, ,L t Unit 2 1 1� <br /> 3. 0 SO O " 3U <br /> 4. 10=1'h]J unit 3 <br /> 8. ^ Unit4 <br /> c� <br /> T. 5 " , r F <br /> El-fir n�� unit <br /> 2 DID <br /> g. <br /> 3(12- . "— ---— — X950_..— „ <br /> _..____.. Unit 6 <br /> JK <br /> 10. 10 A {, J`o, Aat ^SIL c CG3G <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,UNDERGROUND TANK(UST)CLEANUP SUE(LOP) ❑HOUSING AaATEMENT SOLID WASTE FAClUTYIVENICLE <br /> OTHER CLEANUP SITE(NON•LOP) O FOOD FACILDY �WASTE TRE <br /> ZUNDEROROUND TANK(MONtTORINOIREMOVAL) C3 Doc KENNEL rE-DAIKY <br /> 9HAZARDOUS WAM GENERATOR ❑CHICKEN RANCH SMASTEWATER TREATMENT PLANT <br /> Jr+TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYAROICNEM TOILETS <br /> 0 TATTDOIBODY PIERCING ❑PODUSPAi� ❑LAND PLICATION SUES <br /> ❑MEDICAL WASTE FACILITY �J OTHER(PLEASE SPECIFY) D-604, OE' "IT 159 <br /> WELL AND SEPTI;PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AMS:OOPM - EXCLUDING HOUDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)46x0138 or mail 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 /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD riles exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held 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 EMD 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 raorganlmd by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> ENo.ece NIY3 woe <br />