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- Jill UD U I 1 i:7 iia Apex � 209 667-96fi8'T �EC�VED � T P.1 <br /> SAN <br /> I <br /> �I+! SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 304 East Weber Avenue, 3rd Floor, Stockton, CA.95202-27 <br /> Telephone: (209)468-3420 Fax: (209)`464-0138 Web: wwvvsjgav-Or <br /> PUBLIC RECORDS'RELEASE APPLICATION . <br /> APPLICANT: Q n \1 Qn <br /> ADDRESS: 3uy � N �Et � Seo 131 _ SSI auswl=ssrAGENCY:- l ex <br /> T,3vt,0C ds Sae Z,. <br /> PHONE(1): �� �+8�`� PHONE(2)- .2-0-f FACSIMILE: <br /> TENTATIVE*APP61NTMENT DATE- izo FOT Time: 670 C] <br /> (Please allow iD business days From date of application submittal-'Tentative onfy-must be confirmed) <br /> CHECK 13OX TO EXP>=DIM REQUEST-$95.110 FEE(CASH OR-CMECK ONLY)-REQUEST-PROCESSED.IN 3 13USiNESS DAYS <br /> SIGNATURE OF APPLICANT IRATE <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> © Unit i <br /> 1. fl k 1 S 5. t i Dc�.fa a S .�- Em" .E� <br /> 75 <br /> 2• 1 .�`) � A� El unit 2 <br /> 3. C 135SS. IJ- ff``1�ac v�,rn t r Ln�L S C K�o.�► <br /> 4. 6 1 r t�ClydtJl (�a $ C � a G. A ElUnit 3 � <br /> 5• �1-�� ala,n�-1n 3 lea� S hQc,k�,� �i�w'�- a;�$ °�. <br /> 6. t{�C>�- G Elot-r�a <br /> rilt'4 s/� <br /> 7. <br /> Unit 5 <br /> 9. <br /> 10. C1 Unit <br /> Specific Data Range of Information Requested:From zs�a3 to <br /> J ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tht UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HGUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLr <br /> t <br /> OTHER CLEANUP SITE(NON OP} ❑FOOD FACMUtY ❑WAS TIRE <br /> UNDERGROUND TANK(MONITOIUMWFtEMOYAL) ❑DOG KENNEL ❑DAIRY <br /> 0 HAzARDOUS WASTE GENERATOR O CHICKEN RANCH C7 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PownrTED FAci1.1TY ❑'MOTEJHDTEL ❑PUMPER iRuIDWYARDICHFU TOILETS <br /> IM TATTOOIBODY PIERCING ❑POOLISPA 13 lAmD Use APP=A"nou SITES <br /> C3 MEDICAL WASTE FACILITY ❑QTHER(PLEAS£SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS AREAYAILASLE-FOR REYIEW - MOmVAY-FRIDAYE:00 AM-5.00PM - EXCLUDING HOLIDAYS <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 009)464-0138 or mai[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 EHO 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 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 tho file 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 file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EH048-06 g113r200e - .. <br />