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JAN-04-2D11 TUE 08:14 AM ore Twining Associates FAX N0, 0 268 7126 P. 02/02 <br /> EHD LOG NUMBER <br /> wAVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 04 2011 <br /> � 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENTAL HEATT'"hone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:__ A;{�_ �Z- BUSINESSIAGENCY: acre Assoc%"4r <br /> ADDRESS: 2-S-2 -7- rcShv 5{rte- CITY/STATE/ZIP: F,,-es,-,o,. <br /> PHONE(1): C S j) e68 - 7O ZI PHONE(2):(5�;y) q78-95q 1 FACSIMILE: CSs�t) z6B - 712 6 <br /> TENTATIVE`APPOINTMENT DATE: 111'4 (« Time: t I <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ���� r� ��-� - DATE 1(,j( t1 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑_Unit 1_ <br /> W 5 <br /> --- <br /> 2 I Unit2 <br /> ------ ------ <br /> i <br /> L — Unit 3 <br /> --- <br /> ----- <br /> nit4 <br /> ❑Unit 5unit 6 <br /> Specific Date Range of information Requested: From to j('A,,_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ' <br /> NOERGROl1ND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT [SOLID WASTE FACILITYNEHICLE <br /> EOTHER CLEANUP SITE(NON-LOP) [�FOOD FACILITY [WASTE TIRE <br /> [{UNDERGROUND TANK(MONITORING/REMOVAL)X ❑DOG KENNEL ❑DAIRY (" 7` t I <br /> CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> [HAZARDOUS WASTE GENERATOR ❑CHICKENMOTELIRAN ❑�UMPER TRUCKIYARDICHEMICAL TOILETS <br /> [TIERED PERMITTED FACILITX ❑POOIJSPA LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑OTHER PLEASE SPECIFY} <br /> ❑ MEDICAL WASTE FACILITY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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 fife type MUST be 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 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 EHD staff may not be immediately available for review. Anew 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> 07129110 <br /> EHD 46.06 <br />