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0 <br />a <br />DATE RECEIVED EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjg h <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: K K;tir1KU (3 N Lf=O BUSINESS/AGENCY: GN G60 <br />ADDRESS:S�ON. A�, dlmA A citymtatelzip <br />PHONE(1); ZG4--•y 6$t/-6�Q PHONE (2): 204 2( 26(9 ,f' FACSIMILE: <br />TENTATIVE" APPOINTMENT DATE: l Z' . 0-0 Time: 6�p'�o <br />(Please allow 10 business days from data a plicadon Submittal • •TantaGve only -must ba confirmed) <br />Q CHECK BOX TO EXPEDIT729± <br />REgU 5105 F C H 0 ECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 70 -4I; --0S <br />Electronic Information: ❑List ❑ Map — Description: <br />Street a <br />FILE ADDRESS <br />Street Name City <br />EHD USE ONLY <br />- W Q <br />C3 <br />Unht <br />'tU uh f, 1C• <br />I 0 <br />z <br />I ( <br />k S40C S>r. Rye? <br />Nod . rvo w/s <br />Z- ow' <br />❑ <br />Unit 2 <br />4. <br />Zt7 <br />S rS-toinLrp_ Ai, <br />UiT�Z) pESi,vJL�Yh <br />11^fi� <br />Unit <br />6. <br />34 <br />6 <br />5 00jtjotq(q <br />0Z) E3 NoS� <br />Uy alJ v (0 <br />13 <br />Q ------- <br />Unit <br />units <br />7. <br />s_ <br />e• 33} <br />l(f� <br />g• <br />L vJ' .S <br />10. Zap <br />Av— <br />Specific Date Range of Information Requested: From @o•P b:9 1 to pre J-9 AZ <br />��// ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Jal-UNbEROROUND TANK (UST) CLEANUP SITE (LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILIrY/VEWCLE <br />OTHER CLEANUP SITE (NON -LOP) 13 FOOD FACILITY ❑WASTETIRE <br />UNDERGROUND TANK (MONMORINWREMOVAL)(,T O DDG KENNEL ❑ DAIRY <br />QrHAZARDOUS WASTE GENERATORIK C3 CHICKEN RANCH C3 WASTEWATER TREATMENT PLANT <br />O TIERED PERMITTED 'Y ❑ MOTEUHOTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br />13 C7 TATTDO/BODY PIERCINGING O POOUSPA O LAND USE APPLICATION SITES <br />MEDICAL WgaTE FACILITY CI OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW .MONDAY-rFUDAY 8:00 AM.S:OOPM - EXCLUDING HOLIDAYS. <br />11. List up to tan addresses In the space above. Select the type(s) of files from the= 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 not <br />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 />2. The EHD will notify the applicant if any EHD flies 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 />3. 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 EHO staff at the expense of the applicant. <br />Future Nle reviews by the same applicant may require a $105 deposit prior to review. <br />Fun I ICC ^M1 V <br />T <br />TO 39Vd <br />NOdI8039N3 <br />96LTG6960Z Tb:TT BOOL/LT/ZT <br />