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APR-3-2012 10:42n FROM:GEOF '% ENV 2095690295 <br /> -0:4EjA01.0 p,2 <br /> Uzi 14 <br /> U IVSD EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY n <br /> R 0 3 2012 ENVIRONMENTAL HEALTH DEPARTMENT ���`� <br /> 77�e��ph� 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENTAL 8ityhn{ne' (209)466-3420 Fax: (209)464-0138 Web: WWW,Sj90v,Org/ehd <br /> PERMIT/SERVICES �nPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: S7Aie /trr 44 r� BUSINESS/AGENCY o, ,/41' -7/r7 <br /> ADDRESS: Q3Z Ifee CITY/STATE/21P: /To rJyr3 <br /> PHONE(1): -3��q 0.293 PHONE(3): FACSIMILE: ,56 <br /> TENTATIVE`APPOINTMENT DATE: 'y 4 3 Time: <br /> (Please allow 10 business days from tl—a—fe of application submittal--Tentaflve only-must be confirmed) <br /> 615i"HrCK BOX TO EXPEDITE REQUEBY-$122 FEE(CASH <br /> HOOORECK'CHONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT (^ �== DATE tZ;j <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name Cityni <br /> 1..�.!.!. <br /> 1. .. Y4 ,,,�v ST+vo/ ,r. _ sem .._ fAde� "v p'._I. • <br /> D) q 2. .133 e3 <br /> __ ✓`'a4�/_�./1�e/ <br /> a b n GLv�.a�n' U J 6 y <br /> 4. sed ✓ . <br /> 6. ,NQ rO/5 <br /> t3 <br /> nit4 <br /> T. <br /> Unit <br /> 70. <br /> ❑Unit 6 <br /> Specific Date Rango of Information Requestod: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICL �hJpS fOl <br /> UNDERGROUND <br /> CLEANUP SITE(NON-LOP) [I Fool)FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)Q�- [_1 DOG KENNEL I <br /> �TRAzA ROODS WASTE GENERATOR DAIRY <br /> .rte�>�^ p(, ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT L4—t,—I Z <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTOo/BOOY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(ExCLUDING HOLIDAYS) <br /> 7. List u0 to ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0135 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 EMD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> 7Z r t El fria if e <br /> Ar- <br /> EHOKs-oe a colay 0f 0Mplaf/7f-A CDOiO'�?62'r(o Fr)u,,s,Y�� 1, ftrt :r <br />