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6 08 09: 45a Marda Tyree Herbert (925) 947-3738 P. 1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY 10 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: ,v-,vw.Sj90 %or <br /> PUBLIC RE P <br /> �y �( CORDS RELEASE APPLICATION <br /> APPLICANT: _ M or d a- t 'C.1��� BUSINESS/AGENCY: VV CA <br /> ADDRESS: /175)5 W. Fine ��. , !!-�fi2. lb Lodi CA q1624CD I <br /> PHONE h310�5 X253PHON•�E(2): ��Z5)Z�Z Cj�'i'1 FACSIMILE: ?J�J'T <br /> TENTATIVE*APPOINTMENT DATE: Time: i : 30 62r✓L (or F�-t•,fib• <br /> (Please allow 10 business days from date of application submit a[-*Tentative only-must be confirmed) 13 - <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS P054,161e <br /> SIGNATURE OF APPLICANT DATE Z CO O <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City k ❑ Unit 1 <br /> �j u-1 k l e nn ir1�c.15 5;�-c- Pot-+o Strz roc ki'nv7 <br /> 2. -tl-T W. WQShitl +on 151. st-. Unit-D S t ❑ unitz <br /> 3. 12 5 2b W- 1i11Ct s hi n t �{. S}oZlc ' M Hk o�)' of S 61 tll <br /> 4. 22O ( V�ash►►�bn Sf. S�t77.��i-+p-vim- tt�v�r d i4vO p <br /> 5. 2 S 2i Pork Rpm 1= S 6 t�GX� Vtrl ws Unit 4 <br /> 6. <br /> 7. <br /> ❑ Unit 5 <br /> 8. <br /> 9' Unit B <br /> 10. <br /> Specific Date Range of Information Requested:From ��4►LS'� to �YeSerli"-- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) C3 HOUSING ABATEMENT IEJSOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)%/ ❑DOG KENNEL ❑DAIRY <br /> ,12'HAZARDOUS WASTE GENERATOR Q CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEIJHOTEL CI PUMPER TRUCK/YARD/CHEM TOILETS <br /> O TATTOO/BODY PIERCING Cl POOLISPA 13 LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY O 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 /> 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 EMD 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> *** If you should need further assistance please contact Diane Martinez C (209)468-3425 directly. Thank You*** <br /> EHD 48-06 9114/2006 <br />