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els/15/ZUUt 14:53 2133800505 ENVIRONMENTAL PAGE 01/01 <br /> lj SAN JOAQUIN COUNTV EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 1 5 2007 304 Fast Weber Avenue, 3`4 Floor, Stockton, CA 9520 - 8 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.Sj V. rV <br /> ENVlRIfv9ENT HEALTH �1/ <br /> PEP-1111T/SERVICES �� --PUBLIC RECORDS RELEASE .A,PPLICA ON <br /> APPLICANT: e BUSINESSIAGENCY: GC�j`I <br /> ADDRESS: e_1 .r <br /> PHONE(1): `1.lgQ— C75$5 PHONE(2): FACSIMILE: —Q� <br /> TENTATIVE*APPOINTMENT DATE:_.. Time: Fly <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be conflrme <br /> El CHECK BOX TO EXPEDITE REQUEST- 0 H C K ONLY)•REQUEST PROCESSED IN 3 BUSINESS OgYS <br /> SIGNATURE OF APPLICANT DATE 1, <br /> Electronic Information: [I List E] Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> Strout Street Name City Unit 1 <br /> v\ 2. ❑ unit e <br /> 4. Unit 3" <br /> 5. \6� <br /> 6. <br /> Unit 4 <br /> T. <br /> $ ❑ Unit 5 <br /> 9. <br /> 10. ❑ Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> `UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SouD WASTE FACILITY/VEHICLE <br /> 0 OTHER cLFANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> 2MNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNaL 0 DAIRY <br /> —'I%iACARDOUS WASTE GENERATOR 11 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTEL/HOTEL Q PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATroolaoDy PIERCING 0 POOLISPA ❑LAND USE APPLICATION SITES <br /> El MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS Ant AVAILABLE FOR REVIEW • MONDAY-FRIDAY 8!00 AM-6:00PM - ExCLuDING HQLIDAYS. <br /> 1_ List up to ten addres9es 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(2091464-0138 o the address indicated ove. 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 availablb 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$95.00 deposit prior to review_ <br /> EHD USE ONLY <br /> END 48-06 9/1311006 <br />