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DA.TIRECEIVED t SAN JOAQUIN COUNTY EHD LOG NUMBER ENVIRONMENTAL HEALTH DEPARTMENT APR 15 2011 600 East Main St. Stockton, CA 95202-3029 / I oQ Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 1/1 ENVIRONMENTAL HEALTH PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION APPLICANT: ROBERT B. KATZ BUSINESS/AGENCY: KATZ&ASSOCIATES ADDRESS: 21550 OXNARD STREET, SUITE 980 CITY/STATE/ZIP:WOODLAND HILLS, CA 91367 PHONE (1): (818) 716-6110 PHONE (2): FACSIMILE: (818)716-6166 TENTATIVE*APPOINTMENT DATE: Time: (Please allow 10 business days from date of application submittal-`Tentative only-must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUEST-$122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT SEE ATTACHED SUBPOENA DATE 04/15/2011 Electronic Information: ❑ List❑ Map—Description: FILE ADDRESS EHD USE ONLY Street# Street Name CityUnit 1 1. 2302 WEST MARCH 2- IU h^ 2. ❑ unit 2 3. �.5 4. ❑ Unit 3 5. 6. ❑ Unit 4 L7,.. ❑ Unit 5❑ Unit Specific Date Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES - ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT ❑TIERED PERMITTED FACILITY ❑ TELIHOTEL ElPUMPER TRUCKIYARDICHEMICAL TOILETS ElTATTOOIBODY PIERCING POOLISPA F1 LAND USE APPLICATION SITES F1 MEDICALWASTE FACILITY OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a$122 deposit prior to review. EHD USE ONLY EHD 4806 07129110