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�s 12-10-' 07 09;39 FROM-ECS-FLORIDA,LLC, 407-859-9599 T-897 P002/002 F-411 <br /> DATE RECEIVED �J 'A EHD LOG NUMBER <br /> �D SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 2 <br /> Ot=C0 2007 600 East Main Street, Stockton, CA 95202-3029 ' T <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orwelld 3Q.? <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: '; / BVSINUVAGENCY: Z__66ADDRESS: La ciyr' ,� 16i /'o <br /> PHONE(1): 407-&1- D 3 9' PHONE(2): FACSIMILE: V192— 95-0-"9SW <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be contimled) <br /> ❑ CHECK BOX TO EXPEDITE RE�Q^U_E�S,T,�-$96.00 FEE( SH R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DRAYS ^� <br /> SIGNATURE OF APPLICANT ate--+- 4Z, DATE IZiI/Q/ ZoG/ <br /> Electronic Information: ❑ List❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY_. <br /> street# — Street Name Citi —__ ❑ unit <br /> 2. / Q Unll2 <br /> 3. <br /> 4 — UDIt3 <br /> 5. <br /> Unit4 <br /> 6. <br /> �........,...__.._......._— __--____.....,.. .._,._.___. Unit5 <br /> 8. <br /> unit 6 <br /> 8. <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �ChI MDERGROUND TANK(UST)CLEANUP SITE(LOP) E3HOUSING ABATEMENT 0 SOLID WASTE FACILITY%VEHICLE <br /> �t�/nPTHFR CLEANUP SITE(NOWLOP) 0FOOD FACILITY 0WASTE TIRE <br /> ,; UNDERGROUNDTANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> 13 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 'C3 WASTEWATER TREATMENT PLANT <br /> 11 TIERED PERMITTED FACILITY ElMOTEL/HOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> O TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6:00 AM-5:00PM - 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 he selected. Fax to(2091464.0138 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 he confirmed approximately ten (1o) <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 some applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 48-06 WEB 81812OD7 <br />