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SIGNATURE OF APPLICANT DATE 0-110--o7 Aug 16 07 11:37a Ei'VV/RoNvE PUBLIC F.{ E F2- RECORDS RELEASE APPLICATION APPLICANVR VIA/9 DA 13 EIZT BUSINESS/AGENCY: VVC-. Souk-1-Kvoei- ADDRESS; .1c. W. Pi K-IE STE.. L_DDI (=i PHONE LS- q 11-1 3 a pHoNE (2): (q2-S) 1 EA.csureiLE, 2.0ct 3;4 -3-1 TENTATIVE' APPOINTMENT DATE: 66 - 01- (Please allow 10 business days from date of application submittal - *Torstifilie aniy - must be confirmed) 17 CHECK BOX TO EXPEDITE REQUEST - 3400 FEE (CASH OR CHECK ONL PFPA417-/ HEIL DiMptfcalyED nirL-,Ccrp,iv- SAN JOAQUIN COUNTY --,]ul ty ED ENVIRONMENTAL HEALTH DEPARTMENT ti.07 P - 7 ° 600 East Main Street, Stockton, CA 95202 Al/r, 1 . 4 6 i, Tele bone. (209)468-3420 Fax: (209) 464-0138 Web: warw.sigovm Marda Tree Herbert (9251947-9730 - REQUEST PFt0C ESSED IN 3 BUSINESS DAYS I 0 CLIN--1 Time: p . 1 EHD LOG NUMBER [Electronic Information: • List • Map - Description: /I ALE ADDRESS Street # Street Name City EHDUSEyNLY 0 Unit 1 0--56 c2-/ (AO 0 .). 7 (P f-1.% die Unit 2 -° 9 (e f)7 +7 . -10 4-0 W. VVG1/4.5k rvSi-x/ e• -1-.. 1-.G.C-14_4-67t(1 2. -2.. il 5- W . 1A) A.Sk-i r•-.03 4-27 v't St Stpc.k-i-p v.-‘ 7.....1 0 ... . _ W . v0 a-s1-,. .-.54-t) r\ St-- -5-V-D6V---i-c>rt Stock.4--r,--1 --Z., Z-0 t \A.) • Y.I 0....4 tri.H -I-D ei S r . . ----; -.29 00 /oL i `-- n• n c---- 5,; 6 Unit 3 2-3 0C W • Was ki v-toto r‘ St. Ste, ck..{---,,,,i VA -A. , r. F:z,--- it link 4 -2-'3 2-1 V \) • V\_)A...G In; +r, v‘ sr . Si-oc_k+cw, /A) 7.. 2-5'2-1c2 V> . Na_sh..--1.0.4.-o4 Sr. Sto cki-t),--) --2•150 A.I, R. R 0 Limits a 2-lo 5- o W. VVa3 hi r-‘,4-c.v.‘ -31-. ..S-FoC_k_-t-D in 9. 2100 \A) . V\J cus 1,-1;..--,.ti-ce-1 St . -t-oc1-Diel 0—<-14, 0 ''''i k5 L7 Unit 6 . W 41-C h( VL-5 400 sr. 5-1-12)cith-c,n Specific Date Range of information Requested: From to ENVIRONMENTAL. HEALTH DEPARTMENT FILES ...-CrUNDEROROUND TAW (UST) CLEANUP SITE (LOP) AOTHER CLEANUP SIT (Nou-LOP) )21"Unot-FronouNo TAMN (MONITomito/REStoVAL) _2' liezARDOUS Was-ft GENERATOR ..2.TIEREC3 PERMITTED FACILITY ArTATTOc/BODY PIERCING ,p-IdEDICAL WASTE FACILITY 17 REAMING ABATEMENT 0 Rion Fect_rry 0 DOC KENNEL 0 CHICKEN RAt404 MOT EUHOTEL POOL/SPA II OTHER (PLEASE SPECIFY) --&SOLJD WASW FAcitny/Voltmc W ASTE TtRE DAIRY ,AZT-WASTEWATER TREATMENT PLANT ;a-Pew:TR TeticsNAeo/CeEin Toitus rl LAND USE APPLICATION SITES WELL AND. SEPTIC PERIAIT RECORDS ARE AVAILABLE FOR REvtEw - MONDAY-FIND AY 6:00 AN-5:00m - Excwonic HOLIDAYS. List up to ten addresses in the space above. Select the type(s) of flies 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 addresStr6, contact the END. Applications received after 3:00 pm will be processed the next business day. The EHO will notify the applicant if any EliD tiles 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. A file that Is actively being worked on by EfiD staff may not be immediately available for review. A new application may be submitted when the file Is available. 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 $95.00 deposit prior to review. END USE ONLY ENV/ 40-09 afitiduor