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09/26/2008 x14:49 FAX 559 442 5081 KLEINFELDER X1002,1)02 <br /> WR <br /> '` '�� '\ SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> SEP 2 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 0 <br /> ENVIRONMENT HEAL"lephone: (209)468-3420 Fax: (209)464-0138 Web: www,sigov.org/ehd D <br /> PERtuf+T!&ElRVECES <br /> PUBLIC /RECORDS RELEASE APPLICATION <br /> APPLICANT: E'( "L<..44('.4:1 C. I ( i BUSINESS/AGENCY: <br /> ADDRESS: I t/C <br /> PHONE(1): ( -� Y' t17 Jl-,r PHONE(2) � , {�) (.v 5x7- f i 5 j FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE!, Time: <br /> (Please allow ten business days from date of application submittal-•Tentative only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$98.00JF'EJ(CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i(.C - - —• - DATE <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS __ EHD USE ONLY <br /> _ Street# Street Name City ❑Unit 1 <br /> 1' ��7tLW <br /> �ilact <br /> Yi <br /> NO b INwoO�Cfi3y/hPs Nq <br /> JVounitz <br /> 3. <br /> I� <br /> 4. <br /> 6. �Z%C' [ F f L: '7 <br /> 7. r(offe ;yt4ed W# S7 nit 4 <br /> 9. nits <br /> 10. =�Unit 6 <br /> i <br /> Specific Date Range of Information Requested:From ��.�. :- -'�,�;�� <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �PS�✓ <br /> .C1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) A! HOUSING ABATEMENT O SOLID WASTE FACILITYNEHICLE r <br /> TNER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 13 WASTE TIRE / „�,{ 3 . 10A/6 <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)pt 0 DOG KENNEL 0 DAIRY LM y /,/ <br /> H ARDOUS WASTE GENERATOR ❑CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT Y' <br /> ,RFTIERED TATtOOABODYPERMITTEDPIERCING <br /> FACILITY IN 13 MOTEUHOTEL O PUMPER TRUCK[YARD/CHEM TOILETS <br /> ED 0 MEDICAL WAS PIERCING 0 POOL/SPA 0 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACIDTY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-S: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(2091464-0138 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 EHD staff at the expense of the applicant. <br /> Future fife reviews by the same applicant may require a $98.00 deposit prior to review. <br /> EHD USE ONLY <br /> I r <br /> IR tN +� A4: [ <br /> EHO ae-o8 OOI38i8] _ <br /> PUBLIC RECORDS RELEASE qPP FORM <br />