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05/13/2010 13: 12 92546' 3 BV-BUILDING/SAFET" PAGE 01/01 <br /> BPT> 1�ECJF l� 013 UM R <br /> SAN JOAQUIN COUNTY <br /> JLENviRoNMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3'd Floor,Stockton, CA 95202-2708 <br /> !JTelephone:(209)468-3420 Fax-(209)464-0138 Web.www.sjgov.or&hd <br /> EN'4'I, PUBLIC RECORDS RELEASE APPLICATION <br /> P�:rnTl , �del�' . <br /> APPLICANT: L� � BUBI��NES_ddSIAflFNCY: cr <br /> ADDRESS: ( dg�t-.olwlpld< (t� G1�U�? r(]� Com ,/ <br /> PHONE(1): � !��� Q PHONE(2{: �� )/ c7tC � � -_ FAC51M{LE:4! /a`�2 !�,/� a{� <br /> TENTATIVE*APPOINTMENT DATE; Time. <br /> (Please allow 10 husinns days from date of application submittal-"Tentative only-must be conllrrned) <br /> E3 CHECK BOX TO EXPEDITE REQUEST-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT u- (TATE 5l,3 1p <br /> uUNIT DISTRIBUTION II l71nll 1 0 Un*T_I3 Unit S 0 Unit 4 Q Units C.1 Unit H M Other(electroniclllsts/maps) <br /> FILE ADDRESS EHD USE ONLY <br /> StrQet�1 Strept Name city <br /> 2. <br /> 3. ( 9' h1FZ"-? �r <br /> 4. d7, illJ$ ,p <br /> a. I <br /> 10. � <br /> Specific Date Range of Information Requasted:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT F <br /> .I <br /> /LES to <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HVUSINc ABATEMENT W OLID WASTE FACILITYNERCLE <br /> ,PTHER CLEANUP SITE(NON-LOP) C I FOOD FACILITY WASTE Tate <br /> RYjtNnrROROUND TANK(MOWOWNWREMOVAL) ©DOG KENNEL ©DAIRY <br /> 41 t1AZAnDDus WASTE GENERATOR 0 CmicKEN RANCH 0 WASTEWATER TRLATMFNT PLANT <br /> EKED PERMITTED FACILITY 13 MOTeLIHOTYL 0 PUMPFR TRUCWYARDICHEM TOILM <br /> El TATTOOIBODY PIERGINO 0 POOLISPA U LAND UsE APPLICATIDN SITL'8 <br /> M MEDICAL WASTE FACILITY C3 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILA13LE FOR P"RW- MONOAT•FMAY 8:aO AM-3:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ben addresses in the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At least one file type MUST be selected. Faxjo(2091464-0138 or mail to the address <br /> 1nd1aILpd above. Address ranges will not be accepted-for additional assistance with file addresses,contact <br /> the F-14 D.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD fifes exist. An appointment for review will he confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for review_ Appointments 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 <br /> application may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by E140 staff at tha expense of the <br /> applicant. Future file reviews by the same applicant may require a$83.40 deposit prior to review. <br /> -- - <br /> }qND a11.Al.ona <br /> ,HAMS <br />