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�� LltiO '°N Z ll 6[0Z Z Jnr aril P a A I ;);a <br /> f--?� �, �_�,�,' SAN JOAQUIN COUNTY EHD LOU NUMB R <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> At' 2012 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> 1 1 PUBLIC RECORDS RELEASE APPLICATION <br /> Y <br /> APPLICANT: �$�4,j lWard BUSINESS/AGENCY: GaiaTech <br /> ADDRESS: 222 West Las Colina Blvd#1950 N.Tower CITY/STATE/ZIP: Irving TX 75039 <br /> PHONE (1): 469.385.1600x224 PHONE (2): 817.454.5448 FACSIMILE: 469.385.1599 <br /> TEN TATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-"Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASV OR CHEC. ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Wesley Ward / y DATE 7/1J12 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> ^ Street ti Street Name City <br /> jwl Unit <br /> 1 400 East Main Street Stockton ti,) U1;//1)) <br /> GJ E. 0Ems, C0/9 <br /> // r' <br /> 2• Unit 2 <br /> 3. <br /> 4. r? <br /> 251Unit3 `f <br /> 5. <br /> 6• f`Unit 4 <br /> 7. <br /> 8• Unit 6 <br /> 9. <br /> 10. _,p Unit 6 <br /> Speclfie Data Range of Information Requested: From Mt to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT �SOUL)WASTE FACILITY/VEHICLE it❑OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY ❑WASTE TIRE 'h P T <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY I_ ' �� ' Z� <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT't'LANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOWBODY PIERCING ❑POOIISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FoR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXGLUDING 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 address indicated above. 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 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$125 deposit prior to review. <br /> EMD USE ONLY <br /> 3 oL t <br /> f <br /> EMD 44-06 � � - - 8!1111 ■ <br /> 1 <br /> ■ <br /> TO/TO 39dd GGSTS6669V LT:ZT ZT0Z/Z0/L0 <br />