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---- ---- <br /> „ - Dx Jx <br /> (^ File Edit View,Doament Tools Window Help x <br /> + Fd <br /> � ( i � '� S 1001 1- <br /> S �t _ <br /> C - DATE RECEIVED EHO LOG NUMBER <br /> Ya SAN JOAQUIN COUNTY <br /> ( V ENVIRONMENTAL HEALTH DEPARTMENT <br /> Yo �n hd 1868 East Hazelton Avenue, Stockton, CA 95205 6232 _...�I <br /> I I J Te one: (209)468-3420 Fax: (209)464-0138 Web: www-s)gcv.orgleIWO <br /> At a ib PUBLIC RECORDS RELEASE APPLICATION <br /> '.F11 APPLICANT Charina Gaspay BUSINESSIAGENCY: TRC <br /> I® ADDRESS: 101 2nd Street Ste 300 CITYISTATEIZIP: 94105 <br /> PHOl 1 : 415 -644-3000 PHONE(2): 408-368-1300 FACSIMILE: <br /> ( ) <br /> TENTATIVE"APPOINTMENT DATE Time: <br /> (Please allow 10 business days from date of application submittal-•Tenradve only-must be confirmed) <br /> 5u <br /> ❑CHECK BOXTO EXPEDITE REQUEST-5125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT `t"'� DATE 9/26/2012 <br /> Electronic information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY f <br /> Street# Street Name City [d Unit1I <br /> I' 1- 24800 West: Schulte Road Trac <br /> (T62 -p .[iJ Unif 2 <br /> r 3. <br /> 4. Unit 3. �l <br /> 6. [�Unit4 <br /> Yd 8. UnHS <br /> IFr. 9. l <br /> To 10. pUnit5.. <br /> Cc <br /> 5u Specific Date Range of Information Requested: From all (earliest date to present) <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> At ❑x UNDERGROUNDTANK(UST)CLFANUP SHE(LOP) (]MEDICAL WASTE FACILITY 0 SOUR WASTE FACILIYNEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑x HOUSING ABATEMENT %❑WASTE TIRE <br /> OUNDERGROUND TANK(MONITORINGIRFJAOVAL) ❑x FOOD FACILITYx❑DAIRY <br /> �® -❑Q ABOVEGROUND TANK ❑x CHICKEN RANCHI COG KENNEL []WASTEWATER TREATMENT PLANT <br /> Q HAZARDOus WASTEIHAZAROOUS MATERIALS QMOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑x TIERED PERMITTED FACILITY M POOIJSPAx❑LAND USE APPLICATION SITES <br /> ❑x TATTOOBODY PIERCING ❑x COMPLAINTIRESPONSERECORDS O OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> s� 1. LTStuptdtenaddresses 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(209)484-0138 or mail to the address indicated above. Address <br /> ranges willnot 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 /> III 2. The EHD will notify the applicant if any EHD fifes 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. I - <br /> I 3. A file that is actively being worked on by EHO staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> - - eased will be reorganize <br /> b EHD staff atthe expense of the applicant.. <br /> 4. An file not returned m the same condition as rel g Y .._..-.,_._ -. <br /> Dia Y c revleW. r^'BOXEDANEA-EHDUSECNLY <br /> Future file reviews by the same applicant may require all 25 deposit priori _ _ . <br /> r <br /> ❑ Records provided by Staff-PPR Complete.sraff Name: <br /> s.wlz <br /> EHO ae-0s <br /> = � <br /> 8.50 x I1,00h r <br /> j Start s � ❑Y (� !� g �� <br /> �J 2,36 FM <br /> EmUbo . h Welco... �Qaestys 02 MIC... �3�® <br /> �t <br />