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DATE RED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> MAY 18 2012 ENVIRONMENTAL HEALTH DEPARTMENT <br /> r 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehdu` <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: USINESS G CY: M V1 JeI)n� <br /> ADDRESS: ',22-M {�D\A)Q f �� tc 1 v v_ CITY/STATE/ZIP: V[ n ([Jtk <br /> PHONE (1): 51V- u-ZD-ZSaa.J PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTS , ajwj fi 4l", DATE -j — <br /> Electronic information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit <br /> [4. <br /> LIS OO iA1 � 2�So ra <br /> Unit 3 <br /> L10.77. <br /> � Unit 4 <br /> ❑unit 5 <br /> Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> I <br /> THERCLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTETIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> AZARDOUS WASTE GENERATOR ❑CHICKEN RANCH may,('ASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY ❑MOTELIHOTEL L��� IPPUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ATTOOIBODY PIERCING ❑ OOLISPA LAND USE APPLICATION SITES <br /> EDICAL WASTE FACILITY i COMPLAINT RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 km-9:00PM(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(209)464-0138 or mail 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 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 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 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 applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. ,6 <br /> EH L t�",r�\ <br /> 11 5 1K 0� ( F S� /�1�( <br /> 8n/11 <br /> EHD48.06 <br /> L <br /> U <br />