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tl-IU LUt., NUIVIIJEK <br />SAN JOAQUIN COUNTY Altil <br />ENVIRONMENTAL HEALTH DEPA 'ENT <br />304 East Weber Avenue, 31(I Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: aktec. t, IA156 iANg BUSINESS/AGENCY: ()A 1 ((cbr by-DDY-S k ftlANW <br />ADDRESS: 5 • k lk t\N. SiY.QQA- 06-k \AAA. c Pr '°14 1)01 <br />PHONE (1): 510--eqt-Do re- PHONE (2): 111 S45 —9c1 FACSIMILE: k 2)9 I 001S <br />0412a.- <br /> <br />ojt <br />DATE RECEIVED <br />TENTATIVE* APPOINTMENT DATE: %a -132 3a9 Time. <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />?& CHECK BOX TO EXPEDITE REQUEST -$93.00 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT \ DATE 94 (2)/.0S <br /> <br />nit 3 nit 4 0 Unit 5 4iIKInit 6 0 Other (electronic/lists/maps) <br /> <br />UNIT DISTRIBUTION 0 Unit 1 t2 <br /> <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City <br /> a.0 1 tp • wacvlAwyty, k • ' \ 0. i • i,?: - #,-, :,`: Tr \ 1., Stra--in <br /> <br />• <br /> <br />. <br /> <br /> ../ <br /> <br />1 <br />4 <br />0. <br /> <br /> <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />ix OTHER CLEANUP SITE (NON-LOP) <br />RUNDERGROUND TANK (MONITORING/REMOVAL) <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 AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 Am-5:00pm <br />List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the <br />appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <br />indicated above. Address ranges will not be accepted — for additional assistance with file addresses, contact <br />the EHD. Applications received after 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 <br />approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br />days for review. Appointments 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 <br />application may be submitted when the file is available. <br />Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the <br />applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />EHD 48-02-006 <br />11123/04 <br />0 HOUSING ABATEMENT <br />FOOD FACILITY <br />DOG KENNEL <br />0 CHICKEN RANCH <br />MOTEL/HOTEL <br />0 POOL/SPA <br />C&SOLID WASTE FACILITYNEHICLE <br />WASTE TIRE <br />0 DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />0 PUMPER TRUCKNARD/CHEM TOILETS <br />LAND USE APPLICATION SITES <br />0 OTHER (PLEASE SPECIFY) <br />- EXCLUDING HOLIDAYS.