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From:James Robinson Fax:+1(209)740-4303 To:Environmental Health Fax'. +1 209)464-0138 Q 2 of 2 712312008 4:08 ! <br /> DATE RECEIVED SAN JOAQUIN COUNTY t EHD LOG NUM <br /> - L ENVIRONMENTAL HEALT DEPARTMENT <br /> 600 East Main Street, Stockto , CA 95202-3029 <br /> jLIL 3 2009 Telephone: (209) 468-3420 Fax: (209) 464-)138 Web: www.sjgov.org/e <br /> ENkli i0j"l N 1'�Ai PUBLIC RECORDS RELEASE APPLICATION <br /> T el`v;s i i-i_ �,' C BUSINESSIAGENCY: JR So ared Conqultlnp, Inc. <br /> APPLIC/ NT: �drtle51Z0171t15i)t1 ----� —� -- — <br /> ADDRESS: PO BOX 1744 _ cl y/stat.alp Valles Spriings, CA 95252 <br /> PHONE(1): 209 772-3 41 _ PHONE(2): Cell 209-64 -5445— _FACSIMILE: 209-740-4303 <br /> TENTATIVE"APPOINTMENT DATE: August 6, 2009 Time: 9 atn <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.5105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 07123109 <br /> Electronic Information: ❑ List ❑ Map'-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name Ci ty <br /> ❑ Unit 1 <br /> �• 1531 El Pinal Drive Stockton <br /> 2 Stockton El Unit 2 <br /> 3- 2 501 North Wcst Lane Stockton <br /> 4 1624 E. Alpine Avenue '1 � Stockton Unit 3 <br /> 5. <br /> nit 4 <br /> s. 40 <br /> 7. <br /> ❑ Unit 5 <br /> 8. <br /> 9• ❑ unit <br /> 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0 SOLID WASTE FACILrrY/VEHICLE <br /> pp� <br /> t OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIRE - <br /> MuwaERGROUND TANK(MONrroRINGIREMOVAL) ❑DOG KENNEL 0 DAIRY <br /> ;[HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> IX TIERED PERMITTED FACILITY ❑MOTELIHOTEL 0 PUMPER TRUCKNARDICHEM TOILETS <br /> 0 TATTODIBODY PIERCING M POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MON AY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s) of fl.es from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 4644 138 or mail to the address indicated above. Address <br /> ranges will not be accepted—for additional assistance with file'addresses,contact the EHD. Allpp ications 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 maximt m 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. 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$105 depos it prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8/04108 PUBLIC RECORDS RELEASE APP FORM <br />