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x`10/31 . ,805 1 49 9219343665 ARCHER WALNUT CREEK PAGE 02/02 <br /> (U j I <br /> SAN JO.A,Qvnv COUNTY <br /> ENVMONZVMNTAL HEALTH DEPARTMENT <br /> 304.East Weber Avenue, 3 I Floor, Stockton,CA 95202-2708 <br /> EI\VIR0N1'0,'r_NT HEAT I i Telephone; (209)468-3420 Fax: (209)464-0138 Web;www.sjgov.org/chd <br /> pEPfvll1/SERVICES <br /> R061q <br /> �UBLJC RECORDS RELEASE APPLICATION <br /> APPLICANT: Autozone c/o Archer Norris BUSINESSIAGENCY: - <br /> ADDRESS: 2033 North Main Street, Suite 800, Walnut Creek, C.A. 94596 <br /> PHONE(1): — 30-660 PHONE(2): FACSIMILE: 925-930-6620 <br /> TENTATTVE"APPOINTMENT DATE: N/A Time: <br /> (Please allow,0 busin"s days from date of application submittal-'rentftFve only-must be conflmled) <br /> d CHECK BOX TO EXPEI WTE REQU T-$93.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BPSINW DAYS <br /> SIGNATURE OF APPLiCA ohm Kortuu;, Esq- DATE d I G <br /> UNIT DISTRIBUTION Unit 1 ❑Un Un ntt a ❑Unit 6 ❑ Unit 6 13 Other(elcctronlcfllsts/maps) <br /> FILE ADDRESS EHD USE ONLY3tTvet Street Name City <br /> 1• 1100 North Milson Way toe on <br /> 2 W2st 1• th Street Tracy <br /> 3. .09.. ufut R er Lane Stockton <br /> 4, 147 n_jj_tze_P,_t Manteca <br /> 5' - em3n Lodi � 1 <br /> 6, 9 Sutter Street Stoe toga �. <br /> 7 2 West Lane toe OD <br /> 1448 <br /> __Xortb_E,1 Dorado Stockton <br /> Specific Date Range of Information Requested:From January 2000 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SiTE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE PACILITY)YEHICLE <br /> XIOTTIER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORING EMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 1TIERED PERMITTED FACILITY ❑MOTELiHOTEL ❑PUMPER T;uCKfYARD1CHEM TOILET9 <br /> ❑TATTOO/BODY PIERCING ❑POOLIBPA ❑LAND Ust APPLICATION SITES <br /> 0 MEDICAL wASn FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERM T RECORDS ARE AVAILABLE FOR ReviEW- MONDAY-FRIDAY 8:00 AM-6:00PM - EXCLUDING HOUDAYS. <br /> 1. List up to ten addresses n the space above. Select the type(s)of files from the list above by checking the <br /> appropriate box(es). At I ast one file type MUST be selected. Fax to(2091464-0138 or mall to the address <br /> indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications reimlved after 3:00 pm will be processed the next business day. <br /> 2, The EHD will notify the a plicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately ten(10)days after receipt of application. The files will be held for a maximum of five business <br /> days for reviEwv.I Appoint ents should be scheduled accordingly. <br /> 3. A file that is actively bein 3 worked on by EHD staff may not be immediately available for review. A new <br /> application may be subm tted when the file is available. <br /> 4. Any file not returned In tt a same condition as released will be reorganized by EHD staff at the expense of the <br /> applicant. Future file rev ews by the same applicant may require a$93.00 deposit prior to review. <br /> r,. <br /> EHD 4"AA W& <br /> V147M6 <br /> i <br />