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DATE RECEIVED SAN .10AQUIN Cfu��EJI Y EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECTD§ RELEASE APPLICATION <br /> ^ ll <br /> APPLICANT: /`i�u.., L 4 BUSINESS/AGENCY: �o.•++rb �:...�•s �,,,� Qv+,rt <br /> ADDRESS: S66 CA F2;1./ ti-11 /OOd CI STATE/ZIP: <br /> PHONE(1): (2):4//,q ` t FACSIMILE: 446 <br /> TENTATIVE"APPOINTM — Time: oo( - fJ r`7 <br /> _ <br /> (Please allow 10 business days from date of application submitt I-'Tentative only-must be confirmed) <br /> ❑ CI I=CK F30X TO EXPEDITE REOUES T-$125 FEE SH OR CHECK 0 RtOU T PROCESSED 1I4 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_._._ DATE 12 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street NameCity Un,t 1 <br /> 1 T 77 7S �s 1, !P.�(_ /`1w�/e�4 <br /> 2. <br /> Unit 2 71 <br /> - 3. Hier 01 o r�rtfSe S7A <br /> 4 orf5oriatfr� wr�(+ _ -._ - Junit 3 <br /> F,le (`rw4r'._ll jN_.0 <br /> 6 ( Q Unit 4 <br /> 7. - <br /> 8. Unit 5 <br /> 9. ' <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Requested: From 199 3 to /PS e-1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT E`I SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY �CNASTE TIRE <br /> *[:]U RGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ElDAIRY <br /> RDOUS WASTE GENERATOR ❑CHICKEN RANCH ElWASTEWATER TREATMENT PLANT <br /> D PERMITTED FACILITY ❑MOTEL/HOTEL ❑ UMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING PPOOLISPA MLAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY YCOMPLAINT RECORDS [?ETHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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(2091 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> � _ - - <br /> 046-06 ( <br /> CANCELLEO <br />