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05/26/05 THU 13:40 FAX 4152 9475 PES ENVIRONMENTAL 0 <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT / e � <br /> 304 East Weber Avenue,3rd Floor, Stockton,CA 95202-2708 JVD <br /> 2005MY 26 PIS logjone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orglehd <br /> S A N J o r,o Ul¢( C o UNT$UBLIC RECORDS RELEASE APPLICATION <br /> of yes l vlyimn i 0 <br /> �I{{ p BUSINESSIAGENCY: <br /> APPLK:ANT: = - IDO OV <br /> ADDRESS: ILD O V <br /> Q L1 p, FACSIMILE: 415' V <br /> PHONE(1): 4L5'S 1 1 �Ik()O PHONE(2): <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days froIIII/��//arr//�� bmtt�I 7e Ve only-must be eonnrmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ EST•593jrjyj.ArCiEE HICK"' �R QUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE SITl os_ <br /> SIGNATURE OF APPLICANT <br /> UNR DISTRIBUTION <br /> ❑LID III ❑Una 2 ❑Una 3 ❑Unil4 ❑Unll5 17 Unit S O Other(electronlcAIstshnaps) <br /> FILE ADDRESS EHD USE ONLY <br /> Stnseti street Name City <br /> -k <br /> 2. 5 <br /> 3. <br /> 4. <br /> b. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑HOUSING ABATEMENT E3 SOLID WASTE FACIL ITYNEMCLE <br /> t <br /> GROUND TANK(UST)CLEANUP SITE(LOP) ❑FOOD FACILm ❑WASTE TRE <br /> CLEANUP S ( ❑DOG KENNEL ❑DAIRY <br /> OUND TANK(MOI.IITOfaNOIREMOYAL) ❑WASTEWATER TREATMENT PLANT <br /> WS WASTE ❑CHICKEN RANCHtNOTELMOTEI ❑PUMPER TRUCKIYARWCHEM TOILETS <br /> PERMITTED FACILITY pPDoL/SPA ❑LAND USE APPLICATION SITES <br /> OIBODV PIERCING ❑OTHER(PLEASE SPECIFY) <br /> C3MEDICAL WASTE FACILITY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MDNDAY'FPoDAY 8:00 AM-S:OOPM EXCLUDIND OLIDAY9. <br /> 1. List up to ten 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. Fax to 12091464-0138 or mail to the address <br /> Indicated above. Address ranges will not be accepted—for additional assistance with file addresses,contact <br /> the EHD.Applications received after 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist An appolnhill b for review will be im confirmed <br /> files will be held for a maximum of five business <br /> approximately ten(10)days after receipt of application. The <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 EHD staff at the expense of the <br /> applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review. <br /> "d <br /> q . <br /> EHD uoiaas <br /> +n+roe <br />