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01/09/2008 15:01 209334'j2fid WGR SOUTHWEST N(* PAGE 01/01 <br /> O I <br /> L <br /> �� L [EID! SAN JOAQUIN COUNTY <br /> EHD LOG NUM13ER Ltz�i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JAN 1 0 2008 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-34201'ax:(209)464-0138 Web:11W.sjgo,.or <br /> DNVIIRDNMENTH�"A'LPH <br /> - EE3,!,A!T/�EP1V!CE!, PUBLIC RECORDS RELEASE APPLICA ON <br /> APPLICANT:LA RI 5 f4 8 --- 4 —SU51NESS/ArENCY: <br /> Cel <br /> ADDRESS: 1 W 57_Ke_'e1_. .:50 I T� CA <br /> PHONE(1): <br /> _aol PHONE(Z): G7 <br /> JACSIMILE- 7J i <br /> TENTATIVE*APPOINTMENT DATE: -1/"q q-.8q-.85 <br /> Time. <br /> (Please 0110w 10 burin on days fr4mu Pam OT 8PPIleatlon submittal.-Tentpt"only.must be conflrmed) <br /> CHECK BOX TOEXpEDITEREQU ST-$9s.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 <br /> EXPEDITE <br /> SIGNATURE OF APPLICANT DATE B)JSINEsA DAYS <br /> Electronic information: E]List L]MapL/—Description: <br /> 6 <br /> Street 9 FILE ADDRESS ONL <br /> EH ISE , <br /> Streat Name cityT7. ta4W" <br /> 515 r%vC, 13 unit i <br /> ov. V Ism 2 <br /> 4. 01D <br /> 5'+Y- hnq= <br /> / Unit I <br /> rda <br /> 6. <br /> Unit 4 <br /> ❑ Unit 5 <br /> 9. <br /> Specific Date Range Of Information Requested:From <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DrmRoRoulfo TANK(UST)CLEANUP SITE(Lop) <br /> C5P�I 0 HOUSING AIBATEmENT <br /> OTHER CLEANW SITE(NON-Lop) C3 FOOD F:ACILITY "OW WASTE FACILITY/VEHIOLP <br /> DERGROUND TANK(MONrroRINWF;tEMOVAL)V KENNEL M-WA&rE TIRE <br /> ATORV 13 DAIRY <br /> H*:ZAROOUS WASTE GENEP In DCG <br /> 0"nERED PERMITTED FACILITY C3 CHICKEN RANCH <br /> 0 TATTOO/EIODY PIERCING 0 LIOT 0 WASTEWATER TREATMENT PLANT <br /> EL/Holml, El PUMPER TRuCKIYARDICHEm TOILETS <br /> 13 MWcAL WASTE FAcluTy 0 POOLISPA 13 LAND Use APPucATION SrMg <br /> 13 OTHER(PLEASE SPECIFY) <br /> — <br /> WELL.AND SEPTIC PERmrT RECORDS ARE AVAILABLE FOR Raview-MONDAY-FRIDAY 8:00 Am-5:00PM -EXCLUDING HOLIDAY$. <br /> 1. List up to ten addresses In the space above. Select the type(S)Of 11166 from the list above by Checking the appropriate <br /> box(es). At least one file type MUST be selected. D!x 12 i�20�11��i 41g,ii-iD13 Or ail <br /> stance with <br /> I... <br /> ranges will not be accepted—for additional aSSI 6_! 1VLc&daftov_, Address <br /> 3:00 pm will be processed the next business day. addresses,contact A .Applications received after <br /> 2. The EHD will notify the applicant If any END flies exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt Of application. The files will be hold for a maximum of five bu n d <br /> 81 egg "for review. Appointments <br /> be scheduled accordingly. <br /> 3. A file that is actively being worked on by END X2.lif May not be Immediately avallable for review. A new 811l)(IC80on 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 END Staff at the expense of the applicant. <br /> Future file revlms by Um same applicant may require a$98-00 deposit prior to review. <br /> �7 <br /> END USE ONLY <br /> Z <br /> 30 - 1 u +-Z <br /> BID lOAe 01W,07 <br />