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09/26/2008 14:49 FAX 559 442 5081 KLEINFELDER (7]002/002 <br />r I' <br />SAN JOAQUIN COUNTY EHD LOG NUMBER <br />SEP 2 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />ENVIRIMMENT HEN telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />P�Ri'��iTJ�V1�E� <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: a 4 11_ t � C.,,, I - (- t. I i i � <br />�' . , � „-"fir ( �BUSINESSIAGENCY: <br />ADDRESS: <br />PHONE (1): PHONE (2)_) , Li; C/ % ! `, `j <br />FACSIMILE::;,?} <br />TENTATIVE` APPOINTMENT DATE! Time: <br />(Please allow ten business days from date of application submittal -'Tentative only - must be confirmed) <br />i; <br />13 CHECK BOX TO EXPEDITE REQUEST - $98.00 FEEL (CASfi OR CHECK ONLY) - REQUEST PROCESSED IN THREE BUSINESS DAYS <br />SIGNATURE OF APPLICANT _ <br />DATE <br />Electronic Information: ❑ List ❑ Map - Description: <br />Specific Date Range of Information Requested <br />2re s�r\� <br />,,U� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />'�-� NDERGROUND TANK (UST) CLEANUP SITE(LOP) SOLID WASTE FACILITYWEHICLE r � <br />( ) ,,5 .�+ 3i0U51NG ABATEMENT 11% <br />THER CLEANUP SITE (NON -LOP) 0 FOOD FACILITY 0 WASTE TIRE <br />UNDERGROUND TANK (MONITORING/REMOVAL) pt 0 DOG KENNEL O D W+ <br />�AH ARDOUS WASTE GENERATOR AIRY u fid <br />�,/ 0 CHICKEN TEL 0 WASTEWATER TREATMENT PLANT FJ'J <br />0 1 ATTO PERMITTED PIERFACICING <br />TY!7� 0 MOTEUHOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br />0 TATTOO/BODY PIERCING 0 POOUSPA 0 LAND USE APPLICATION SITES <br />0 MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-5;OOPM - 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 (209) 464-0138 or mail to the above address. Address ranges will <br />not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will <br />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 <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 the EHD staff may not be immediately available for review. A new application <br />may be submitted when the file is available. <br />4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $98.00 deposit prior to review. <br />