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JUL-20-2010(TUE) 13: 51 Salm Engineering Group, Inc (FAX)90"0906d35 P 001 /501 <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> H 1! ! Zr:1�1 600 East Main St. Stockton, CA 95202-3029 C <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> r,t <br /> LP! idE-ALT11 <br /> - ,,��.11r,4 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: �;����vt 0 BUSINESSIAGENCY: lcrnn�rrccr,�5 <br /> ADDRESS: ll�S"o /ti1,'ff,'ar\ Ar�C ��'✓e ,5, �0 CITY/STATE/ZIP: &ZAA tone-3, 6A 9'%J>0 <br /> PHONE (1): (Yey) J_ff- �-9673 PHONE (2): (5rc, y'eo-of- FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Places allow 10 bu@Iness day@ from date of application submittal-•Tenrative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUES $ 5 F E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT CA DATE 71�0110 <br /> 6111 <br /> Electronlc Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 1f Street Name City FI Unit 1 <br /> 3 aI � d�eJ 11 <br /> 2. <br /> � Unit 2 <br /> 3• G��S- Fa c�` �'c /4✓� jar , r`: i �' ••L r to n <br /> 4• 5'03 L,ik, /l V G A) 7 F nit 3 <br /> 6. /e C }&. <br /> t <br /> c., Cr ',t �/nit <br /> 7. <br /> B• Unit s <br /> 9. <br /> 10. Unit B <br /> Specific Date Range of Information Requeeted: Brom to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY B:00 AM-S:OOPM(EXCLUDING HOLIDAYS <br /> 1. List up to ton addressos In the space abovo, Soloct the type(a)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(208)464-0138 or mall to the addreaa 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 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 buslnesa 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 some 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$115 deposit prior to review. <br /> 5, If you need further assistance, please contact Diane Martinez,at(208)468-3425. <br /> EHD WE ONLY <br /> EHD 0-06 6127102 <br />