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Feb 06 08 09: 45a Marda ,Tyree Herbert (9251 947-3738 <br /> DATE RECEIVED lo' 1 <br /> 4--l' SAN JOAQU[N COUNTY *1� EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-01.38 Web: wxvw.sjgoN1%0rt5 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: H erh, BUSINESS/AGENCY: W(aj 0 <br /> ADDRESS: /�15 W• Pl2tle GJ�. �fi2 . L(�[ I q 2 o <br /> PHONE(1)47_0 3:j41 h 310�5 Y76 PHONE-(2): ��2�7)Z Z ���� FACSIMILE: (9-09) <br /> •r <br /> TENTATIVE*APPOINTMENT DATE: F_"If, . fib. I'Z Zpp�? _Time: 1 . ?JC rn� <br /> (Please allow 10 business days from date of application submlt al-''Tentative only-must be confirmed) g <br /> CHECK BOX TO EXPEDITE REQUEST-$98,00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> possible <br /> SIGNATURE OF APPLICANT oI �� DATE Z LO 1 S <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ <br /> - n �C7r1 St. q <br /> ❑ Unit iawk-`1Q rY1iy)AA6SPorto Stx Sroc ki-c'n <br /> 2. Z-1 1VhtstoC �'D nU <br /> it 2 <br /> 3 5 2b f/V- b11Gt5 hi n �. 5+77 V f ryA_ <br /> 4. 'y ZD 1 10161.:5 +ptl S�-. L $-VL. �J���o29�a(���j '�02`!6 Unit a <br /> 5. r3 2_1 pbt-f k-Ro&d > S+bzn <br /> 6. /Unit 4 <br /> 7. <br /> S ❑ unit 5 <br /> 9. <br /> 10 Unit 6 <br /> Specific Date Range of Information Requested: From CoLr I l a-s - to Pt��S�r11J <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 121"UNDEROROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT IeSOLID WASTE FACILITYNEHJCLE <br /> ,Z..,/OT iER CLEANUP SITE(NON-LOP) ❑ FOoD FACILITY WASTE TIRE <br /> X UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ,127 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> Q TATTo01BODYI IERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY B:DO 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 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 fife 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 /> EHD USE ONLY <br /> *** If you should need further assistance please contact Diane Martinez @ (249)468-3425 directly. Thank You*** <br /> EHD 48-06 9114!2006 <br />