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04/24/2007 08:56 5302445021 LAWRENCE ASSOCIATP PAGE 01 <br /> DATE RE,GENED - EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 F. Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov,oig/ d l <br /> 'PUBLIC RECORDS RELEASE APPLICATION (( <br /> APPLICANT: --USINES AGENCY: I r 'i 4- IA� <br /> �50ftak5 <br /> ADDRESS:— 2(DO I IllArI d l <br /> PHONE(1):570-2.N4'- i J.Q -1 PHONE(2): SIMILE: 530^ZLE�-.St77-� <br /> TENTATIVE`APPOINTMENT DATE: s- - e: -+.'ew CI 4•M1r.} 2-f,^- <br /> (Please allow 10 business days from date of appl catlon b - e niy-must be confirmed) <br /> CHECK BOX TO EXPEDITE RED ST-$95... CASH O •REQUEST PROCESSEn IN 3 BUSINESS DAYS c....1�AcjolC. <br /> SIGNATURE OF APPLICANT DATE r� ._._.• <br /> Electroniclnformation: ❑ Lis Map-Description: <br /> FIL ADDRESS EHD USE ONLY <br /> Street N A*�_l,Street Name City Elunit 1 <br /> Z' 1 0 8'L 4 N. .s �1 �Unit2 \ L/ <br /> 3. OSOD 31529 3 <br /> \ <br /> 4. 41 unit <br /> 6. 3 5-0 , rf <br /> T. N, r " El units <br /> 10. /01A D . o. r -5LK: ct5[, <br /> Speciflc Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �UNOERGROONO TANK(UST)CLEANUP SITE(LOP) Cl HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHm CLEANUP SDE(NON4-OP) 13 FOOD FACILITY Z WASTE TRE <br /> ZUNDEROROUNO TANK(MONtTORINOIREMOVAL) ODoe KENNEL A-DNRY <br /> XHAZARDOU9 WASTE GENERATOR 0CHICKEN RANCH .2 VASTEWATER TREATMENT PLANT <br /> 9 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKrYARDICHEMTOILETS <br /> TATroolBooY PIERCING In POOLISPA ^ 11 LAAO SE(p',PPLICATION SREB <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) ILnf OF' '+i 1^�' <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW . MONDAY•FRIDAY 8:00 AM S:00PM • EXCLUDINO HOUDAYS. <br /> I. 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)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 notify the applicant if any EHD riles exist. An appointment for review will be confirmed approximately tan(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 EHD 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 roorganlmd 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 /> EH049a WIMOM woe <br />