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m., �U VU Ute.-rlP NUIdIIUL 41b-2b2-8985 p.1 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MAR 2 5 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> ENVIRONMENT l Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov,Dr d <br /> 053 <br /> PERf01T./SFRVtCM <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: LVJ BUSINESS/AGENCY: <br /> ADDRESS: �j I �- LL �-,ny617 V 6A 4itlfI7 <br /> PHONE(1):ZZ/f(7" '3?Sq',D2i7?-.1 PHONE(2): �/I� Z����&!j� FACSIMILE: t4 <br /> TENTATIVE'APPOINTMENT DATE: .Aeri Ig 7.Q7� Time: A <br /> (Please allow 10 business days from dAe of appl' tion submittal-'Tentat(ve only-must be confirmed) <br /> C3 CHECK BOX TO EXPEDITE REQUEST $ FEE ASH OR K ONLY)-REQUEST PROC(ESSEb IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ©List❑Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> Street# Street Name City ❑ Unit l <br /> WrenAl. <br /> 2. <br /> ❑ Unit <br /> 3. 6 -� re11 C 1A Gates( f <br /> 4. _ a„` unit <br /> S. <br /> 6. ❑ Unit4 <br /> T. <br /> 8. ❑ Unit 5 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested:From Som 2-100'r to Z�00 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑SOLID WASTE FACIUTY/VEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY O WASTE,TIRE <br /> 0 UNDERGROUND TANK(MOMTORING/REMOVAL) In DOG KENNEL ❑DAIRY <br /> E3 HAZARDOUS WASTE GENERATOR CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> O TYERED PERMEPTED FACILITY 0 MOTEIHOTEL 0 PUMPER TRucK/YARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> E3 MEDICAL WASTE FACILITY 0 OTHER(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(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 END.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$98.00 deposit prior to review. <br /> END USE ONLY <br /> END 45-M WEB 616J2001 <br />