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■ <br /> ■■ 2012-Aug-10 04:13 PM BAYER PHARMACUTICALS 415-437-5970 1/2 <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> •� ENVIRONMENTAL- HEALTH DEPARTMENT <br /> 7012 1858 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> VP MiTISEHVIGESLI't-e <br /> PUBLIC RECORDS RELEASE APPLICATION 1 <br /> APPLiCANT. X(2;AM Z.4 t�� ri� BUSINESS/AGENCY: <br /> ADDRESS: cD7 I11 Cay-��-� t �'e- � CITY/STATE/ZIP: 111 <br /> PHONE(1): PHONE(2): D0 rACSIMiLE: 1 Q ln' S 9 s <br /> TENTATIVE"APPOINTMENT DATE: S- Time: <br /> (Please allow 10 buslnass days from date of app Ike Ion submittal-*Tentative only-must be conflr ed) <br /> HECK BOX TO EXPEDITE R QUEST-$126 FEE55H OR ECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT `l!/� DATE <br /> Electronle information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name City ❑Unit 1 <br /> 2, 0 Unit 2 <br /> 3. <br /> q Unit 3 <br /> 6. <br /> Unit 4 <br /> 7. <br /> g, unit 6 <br /> 9. <br /> 1 D. 0 Unit 6 <br /> Specific Data Range of Information Requested: From / to <br /> ENVIRONMENTAL HEALTH YEPARTYENT 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(MONITORING/REMOVAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH 01 WASTEWATER TREATMENTPLANT <br /> TIERED PERMITTED FACILITY MOTELIHOTEL ED PUMPER TRUCKIYARDICHEMICALTOILETS <br /> TATTOO/BODY PIERCING POOLISPA LAND USE APPLICATION SITES <br /> mm MEDICALWASTE FACILITY COMPLAINT RECORDS �]OTHER(PLEASE SPECIFi') <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•B:OOPM(EXCLUDING HOLIDAYS) <br /> 1, f ist up t ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At leaet one filo typo MUST bo soloctad. Fax to(209)464.013B ormall to tho addr t%j Tndlcatod ahov_a._ 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 bualnesa 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 atter receipt of application, The flies will.be held fora.maximum.of.fivebusiness.days for review. Appointments <br /> should ba 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 flle reviews by the same applicant may require a$125 deposit prior to review. <br /> EHD USE ONLY <br /> YHD 41-01 <br /> Bli 11 <br /> Received Time Aub• 10. 2012 4: 15PM No. 0813 <br />