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HoUSING ABATEMENT <br />0 FOOD FACILITY <br />0 DOG KENNEL <br />0 CHICKEN RANCH <br />Mora./HOTEL <br />El POOL/SPA <br />El OTHER (PLEASE SPECIFY) <br />,-ErSOLID WASTE FACILITYNEHICLE <br />„.0/WASTE TIRE <br />0 DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />El PUMPER TRUCKNARD/CHEM TOILETS <br />0 LAND USE APPLICATION SITES <br />AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AN-5:00em - EXCLUDING HOLIDAYS. <br />Feb 08 08 09:45a <br />DATE RECEIVED <br />Marda Tree Herbert (925) 9 4 '7 -3738 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-2708 <br />Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov <br />P.1 <br />EHD LOG NUMBER <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: arCi a— Nerbey-t. BUSINESS/AGENCY: tA/C4 R <br />ADDRESS: 7lS W. f1ne. 31e_ . 5 Loci CA g 6 240 <br />PHONE (1): (2-01.Y354 x763pHoNE (2): (9 r:i)'7,12:- S)111 FACSIMILE: (2-D61) 34- 5374 <br />TENTATIVE* APPOINTMENT DATE: . 1 -e....(9. 12.- 2-OD' Time: enn... (0t- i <br />(Please allow 10 business days from date of application submittal -*Tentative only - must be confirmed) 't 9 <br />)4(CHECK BOX TO EXPEDITE REQUEST - $98.00 FEE {CASH OR CHECK ONLy)- REQUEST PROCESSED IN 3 BUSINESS DAYS r- tiriP051191e <br />SIGNATURE OF APPLICANT <br />I Electronic Information: LI List 0 Map - Description: <br />FILE ADDRESS ' END USE ONLY <br />Street # Street Name City D Unit 'I <br />.2,. 7 5 0 Unit 2 <br />02967) <br />Stocla-ov) 1. a tki V TirrYlinet.16 Sii-G Por-t- oc Si-mkt-co <br /> ca—1 11 W. Washin9-1-Lri st Sto cici-Dn <br /> 2t2-k, J-ti VVashin51on Si-. Si-o-rAci-rrn- <br />4. 24-0 i kik). Klel...Shirlai-Orl a- Strid4A-i-IA_J6-3 ff-f 02 9 , 61.17&6, 2Y6i0eunit 3 <br />A.,4 t----; k---- 5- 213 2-i Pork- Roa.ci F Si-tr-a3-DrA /Unit 4 <br /> <br />0 Unit 5 <br />8 . <br /> <br />/Unit 6 <br /> _ <br />Specific Date Range of Information Requested: From -0,1-1 i 42-St- to - <br />ENVIRONMENTAL ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DATE <br />,,ErUNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />/El OTHER CLEANUP SITE (NON-LOP) <br />..'UNDERGROUND TANK (MoNiToRINGREmovAL) <br />HAZARDOUS WASTE GENERATOR <br />TIERED PERMITTED FACILITY <br />0 TATTOO/BODY PIERCING <br />0 MEDICAL WASTE FACILITY <br />WELL AND SEPTIC PERMIT RECORDS ARE <br />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 wili not be accepted - for additional assistance with file addresses, contact the END. Applications received after <br />3:00 pm will be processed the next business day. <br />The END 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 />1 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 $98.00 deposit prior to review. <br />EHD USE ONLY <br />*** If you should need further assistance please contact Diane Martinez @ (209)468-3425 directly. Thank You*** <br />EHD 48-06 9/142006