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1234 vcv KLEINFELDER <br /> 18:11:22 12-03-2010 111 <br /> vr+ c nc�,ciEND LOG NUMBER SAN JOAQUIN COUNTY �_ <br /> ENVIRONMENTAL HEALTH DEPA re <br /> � RTMENT <br /> 600 East Main St. Stocktori, CA 95202-3029 <br /> yD Telephone: (209) 46$-3420 Fax: (209)464-0138 Web: www.Sjgov.orglehd .n,a <br /> 0 � . <br /> PUBLIC RECORDS RELEASE APPLICATION -)(-Ci <br /> PLICANT: USINESSIAGENCY: <br /> KESS: <br /> � �� ��� CITY/STATE/ZIP: <br /> PHONE(1 10 — PHONE(2): FACSIMILE: <br /> RONM����vt�TATIVE*APPOINTMENT DATE; <br /> Time: <br /> R1�risE (Please allow to business days From dat f application bmittal-`Tentative only-pE y-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST $122 FE C SH OR CH K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> i DATE � <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name ---]---qty <br /> Unit 11 <br /> 2 <br /> 3. — unit 2 <br /> e nit <br /> sqy l <br /> 6. y <br /> �tr1s� d <br /> 7' S0�3w ,,h nit 4' <br /> 9. ❑Unit 5 <br /> 10. <br /> ❑Unit 5 <br /> Specific Date Range of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to <br /> ROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMEN1 SOLID WASTE FACILITYIVEHICLE <br /> O_ l�tLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> RSIDERGROUND TANK(MONITOWNGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> C DOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> ❑ ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY <br /> ❑MOTELIHOTEL ❑PUMPER TRUCOARDICHEMICAL TOILETS <br /> ❑TATTOO1800Y PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> �EDICAL WASTE FACILITY EIOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MOh DAY-FRIDAY 13:00 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 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 addre ses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END 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!more lately available for review. Anew application maybe <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorgai flzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit irior to review. <br /> EHO USE ONLY <br /> i <br /> EHD 48-06 <br /> 0X29110 <br /> I <br /> ( <br />