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�,rdaN3d EHD LOG NUMBER H-MV31H-�` IWe ,1NOWA a SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT DOZ 06 9 ddV 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 03 A E, PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Mikesonke ADDRESS: 1117 Lone Palm Avenue Suite 201 PHONE (1): (209)579-2221 BUSINESS/AGENCY: CardnoATC PHONE (2): (209) 3565018 CITY/STATE/ZIP: Modesto, CA 95351 FACSIMILE: (209) 579-2225 TENTATIVE* APPOINTMENT DATE: MondayMay6,2013 Time: 10:00am (Please allow 10 business days -from date of application submittal - *Tentative only - must be confirmed) ❑ CHECK BOX TO EXPEDITE REQ ES 125 F E (C R CK NLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT DATE April 22, 2013 Electronic Information: ❑ List ❑ Map — Description: FILE ADDRESS EHD USE ONLY El Specific Date Range of Information Requested: From to Present ENVIRONMENTAL HEALTH DEPARTMENT FILES UNDERGROUND TANK (UST) CLEANUP SITE (LOP) F] MEDICAL WASTE FACILITY ]SOLID WASTE FACILITY EHICLE { Q OTHER CLEANUP SITE (NON -LOP) ❑HOUSING ABATEMENT ❑WASTE UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY (--1 j Q ABOVEGROUND TANK ❑ CHICKEN RANCHI DOG KENNEL ❑WASTEWATERTREATMENT PUNT t ` O HAZARDOUS WASTEIHAZARDO S MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS Q TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES ElTATTOO]BODY PIERCING Q COMPLAINTIRESPONSE RECORDS ElOTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY*** ��ar�ri�■ w.aa�r� Baa �.��i�.�.=t��r�nri�•�.rr��-wsw�a�n.ir�r ��ri4 ��/ll�ig►�lL�irR�� ir�itl�1�►s7� �.�.��i�sr��Rn�rza.—�� is w�. Ira ��ti%7Y�13)iiY�/[t[a�rri yt U .........r,..i,�. EHO 48-08 00 zA a 1� ii # r, A Street 9 Street Name city ❑ Unit 1 714 N. Hunter N. Hunter Stockton Stockton�_Ojtl�9M�NOo / o wif unite 2. 715 3. 804 N. Hunter #j 17 N. Hunter f 7 Stockton' Stockton 3 i nit 3 4. 819 5. 706 N. EI Dorado N. EI Dorado Stockton Stockton it4 6. 713 7. 8. 9. 725 804 212 N. EI Dorado N. EI Dorado W. Poplar Stockton Stockton Stockton T t 41-z No a;T T 3 a its f !n10 (XA) ❑ UnitS 10. El Specific Date Range of Information Requested: From to Present ENVIRONMENTAL HEALTH DEPARTMENT FILES UNDERGROUND TANK (UST) CLEANUP SITE (LOP) F] MEDICAL WASTE FACILITY ]SOLID WASTE FACILITY EHICLE { Q OTHER CLEANUP SITE (NON -LOP) ❑HOUSING ABATEMENT ❑WASTE UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY (--1 j Q ABOVEGROUND TANK ❑ CHICKEN RANCHI DOG KENNEL ❑WASTEWATERTREATMENT PUNT t ` O HAZARDOUS WASTEIHAZARDO S MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS Q TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES ElTATTOO]BODY PIERCING Q COMPLAINTIRESPONSE RECORDS ElOTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY*** ��ar�ri�■ w.aa�r� Baa �.��i�.�.=t��r�nri�•�.rr��-wsw�a�n.ir�r ��ri4 ��/ll�ig►�lL�irR�� ir�itl�1�►s7� �.�.��i�sr��Rn�rza.—�� is w�. Ira ��ti%7Y�13)iiY�/[t[a�rri yt U .........r,..i,�. EHO 48-08 00 zA a 1� ii # r, A