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Y� SAN JOAQUIN COUNTY EHD LOG NUMEIER <br /> _...'ONMENTAL HEALTH DEPART%T <br /> T <br /> 600 East Main St. Stockton, CA <br /> 29 <br /> Telephone: (209) 46$-3420 Fax: (209) 464-0 38 Web: 0 wvww,sigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Denise Rizzo BUSINESSfAGENCY:Tracy Press <br /> ADDRESS: _ <br /> CITY/STATE/ZIP:Tracyy Cq <br /> PHONE (1): 830225 PHONE(2): FACSIMILE: <br /> TENTAT/VE"APPOINTMENT DATE: <br /> (Please allow 10 business days from tlate of appliCatlon submittal •Tentative onl Time: <br /> y-mint ba Cortflnned) <br /> ❑ CHECK BOX TO EXPEDITE R $125 FEE(C SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> DATE, / « <br /> Electronic information: Q List❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name EHD USE ONLY <br /> City <br /> Please provida the most racent copy of ❑ Unit I <br /> the notice to public pools in San Joaquin <br /> • County to make pooUspa/wade pool <br /> upgrades to most AB 1020—Federal <br /> VI Iola Graeme Baker Act <br /> 2. - <br /> 3, 0 Unit 2 <br /> 4. <br /> Unit 3 <br /> 6. <br /> 7. O Unit 4 <br /> 8 <br /> 9, ❑unit 5 <br /> Specific Date Range of Information Requested: From <br /> i] unit 6 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES to <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> U OTHER CLEANUP SiTE(NON-LOP) [DSOLiD WASTE FACiLITYNEHICLE <br /> ❑FOOD FACILF Y ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONiTORiNGIREMOVAL) ❑DOG KENNEL DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> [D TIERED PERMITTED FACILITY D WASTEWATER TREATMENT PLANT <br /> Q TATTOOiBODY PIERCING X❑PpOUSPA ❑ <br /> D MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑ MEDICAL WASTE FACILITY ❑LAND USE APPLICATION SiTES <br /> ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AMw6:00pM(EXCLUDING HOLIDAYS) <br /> 1. List u to 1pn addresses in the space above, Select the type(s)of files from the list above <br /> box(,aa). At least one file b'!+checking the appropriate <br /> ranges will not be accepted-for additional assistance with fiile addresses1 404-0138 ,contact he END. Applications vall to the address Indicated breceived afters <br /> 3:00 pm will be processed the next business day, <br /> 2. The EHD will notify the applicant if any END 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 END Staff may not be immediately available for review. A now application may be <br /> submitted when the file is available. <br /> 4. Any file not returrled in the same condition 88 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 /> F-rr>, <br /> Jeff Carruesco filled out and e-mailed to Denise Rizzo for signature. <br />