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Fron:Marcus K. Bale & Assoc i s 530+633+0119 1210' ,0 09 16: 12 1140 8.001 <br /> l <br /> EHD LOG NUMBER <br /> mo BOWED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 0 7 2009 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRONMENT HEALTWephone: (209) 468-3420 Fax: (209)464-0138 Web:WWW.SJ90V.O <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE .APPLICATION <br /> APPLICANT: �� ' l`- BUSINESS!/AGENCY:,� r//CIT'c/i=- _C1Zr_ _% 0 <br /> ADDRESS I� 7 rOC�G Q!/�f Cltylstatelzip,L ..tz 1llr <br /> PHONE(1): 5dC)-6,E--1jj- PHONE(2): U _ ..- a(o� S�Wtc�FACSIMILE: `Jo (��}3 D 7 <br /> TENTATIVE'`APPOINTMENT DATE: I u+ Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative Only-must be confirmed) <br /> D CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# _ Street Name City ❑ Unit 1 <br /> 1. (/J �� ✓7 f 1 cr o <br /> (/ r nn �/ ❑ Unit2 <br /> 2. 6 cad xk, L <br /> I 3. t 3 <br /> ` <br /> �_ . <br /> /a <br /> 4. <br /> _LlJ_s S /Unit 4 <br /> 7. / Q 7c' r� S n t h <br /> Unit 6 <br /> 10. Zo zn <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IIS � UNDERGROUND 0 TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT aOLID WASTE FACILITYIVEHICLE <br /> y�VTHER CLEANUP SITE(NON-LOP) 0 F000FACILITY d WASTE TIRE <br /> Cyt4f ERGROUND TANK(MONITORINGIREMOVAL) 13 DOG KENNEL 0 DAIRY <br /> IpAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ©TIERED PERmiTTED FACILITY 0 MOTELIHOTEL M PUMPER TRuCtUYARDICHEM TOILETS <br /> 17 TATTOD/BODY PIERCING El POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY b OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR'REVIEW - MONDAY-FRIDAY 8:00 AM-5:OOPM 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 /> f <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 filet will be held fora maximum of five business days for review. Appointments <br /> G should be scheduled accordingly. <br /> I 3. A file that is actively being worked on by EHD staff may not be immediately available_ for review. A new application maybe <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 /> f s=uture file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> i <br /> I <br /> s <br /> s <br /> EHD 48-06 8/04108 PUBLIC RECORDS RELEASE APP FORM <br />