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r- eb 08 08 09:45a <br />DATE RECEIVED <br />Mardp Tree Herbert (925) 9A 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.sjgoN,.or <br />. 1 <br />EHD LOG NUMBER <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: IA Ck- H e rbt BUSINESS/AGENCY: VVC4 <br />ADDRESS: 71 S W. Pi ne. "1-e.. 5 Lod i CA g3 24 <br />PHONE (1): (201-Y354 - 1"2to x763PHONE (2): ( r-z S)111 FACSIMILE: P-1)1 5374 <br />TENTATIVE* APPOINTMENT DATE: 1-e- 'F7. . 12- '2--ODC11' Time: ery-N...- (or . C69. <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />%CHECK BOX TO EXPEDITE REQUEST -$98.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS topposilole, <br />SIGNATURE OF APPLICANT <br />Electronic Information: III List • Map — Description: <br />I <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City 0 Unit 1 <br />1 • alki ki—errninGa6 Sil-C, POrt Oc Stlida-riti 51-0C Ittni <br />2. 0./.—I II W. W&- +-i 61-- St-0 ck_i-D n „2, 7 5 0 Unit 2 <br />02 95"( 3- 5 2-10 W - VVashirl-on St. S-1-a-r,ki-vyt- <br />3 <br />I--- 7.--- A)/ <br />4.6/eUnit <br />5- '2 3 24 Por-i- Roeusi E S-1-Dzki-on <br />/Unit 4 <br /> <br /> <br />0 Unit 5 <br /> ,. <br /> <br />,.: L <br />,...., (Unit 6 <br /> <br />Specific Date Range of Information Requested: From S t— <br />_ <br />to Preseni— <br /> <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />HOUSING ABATEMENT <br />FOOD FACILITY <br />DoG KENNEL <br />0 CHICKEN RANCH <br />fl MoTEUI-lorEL <br />PoOL/S PA <br />0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <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 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 />The EHD 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 />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 />Any file not returned in the same condition as released will be reorganized by END 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 0/14/2006 <br /> DATE <br />„Z(UNDERGROUNe TANK (UST) CLEANUP SITE (LOP) <br />„Er OTHER CLEANUP SITE (NON-LOP) <br />SeUNDERGROUND TANK (MONITORING/REMOVAL) <br />„la HAZARDOUS WASTE GENERATOR <br />/Er TIERED PERMITTED FACILITY <br />0 TATTOO/BODY PIERCING <br />O MEDICAL WASTE FACILITY <br />/arSOLID WASTE FACILITYNEHICLE )2r*WASTE TIRE <br />0 DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />171 PUMPER TRUCK/YARD/CHEM TOILETS <br />a LAND USE APPLICATION SITES