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ra <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY END LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, 38 Web: 3029 40 /� <br />Telephone: (209) 468-3420 Fax; (209) 464-0138 Web; wvvw.sjg h /iel/j <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: K I(.'ff'1KU (y/}Nl)e�(^r.D BUSINES <br />ADDRESS: 580 W;IM.. A Clty/State0P <br />PHONE (i); -c4-'•y 68k--4604 PHONE(2): Z04 2( 26bS •FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE; Time: 0_ - L <br />(Please 811" 10 business days from data a plication submittal - •ToMaGva only - must be wnfirmed) <br />EI CHECK BOX TO EXPEDITE REQU $105 F C NO ECK ONLY) - REQUEST PROCESSED IN 313USINESS GAYS <br />SIGNATURE OF APPLICANT DATE Z- l7 ^O <br />Electronic Information: ❑ List 0 Map — Descrlption; <br />Street A <br />FILE ADDRESS <br />Street Name any <br />�U vh f� k • I 0 <br />1 el I sy. '4ve? <br />2 0 2 `PJM. <br />S s-I�CLt�'D., Aw-- <br />E <br />414 <br />L US /J <br />� &134rfo. Ay4 <br />EHD USE ONLY <br />- W .7 Y Cl <br />Nod I Ha w/y ❑ <br />Z� ofAy <br />�rL� <br />s -1 -> <br />63 Abc(!� r ❑ <br />L p❑ <br />(.0 <br />Unit1 <br />uNlt z <br />Unit 3 <br />Uni(4 <br />Unit <br />Unit e <br />1• <br />2. <br />R <br />l ( <br />3. <br />4. <br />Z O <br />6• <br />3y <br />8• <br />337 <br />g. <br />10. <br />` :5 O <br />apecmc Date Range of Information Requested: From av f 112) to jJrestn.rl <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />4INDEROROUNO TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOUO WASTE FACILITY/VEHICLE <br />V. OTHER CLEANUP SITE (NON -LOP) In FOOD FAcnL C3 WASTE TIRE <br />14 UNDERGROUND TANK (MONMORING/Rseopv L)p( 13 Doc KENNEL d DAIRY <br />)V,HAIAftDOU5 WASTE GENERATORO OCHICKEN RANCH O WASTEWATER TREAYMaw PLANT <br />O TIERED PERMITTED FACILITY <br />C]TATTOO/BODY PIERCING OPOOLI PATS ❑ LANo USE APPL0 PUMPER ICATION SITES CILEr9 <br />E3 MEDICAL WASTE FACILITY © OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-PRIDAY 8:00 Aw5;Q0pM - EXCLUDING HOLIDAYS. <br />1. List up to tan 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 mall to the address Indicated above. Address <br />ranges will not be accepted —for additional assistance with Nle addresses, contact the END. Applications received after <br />3:00 pm will be processed the next business day. <br />2. 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 />3. A file that is actively being worked on by END 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 $105 deposit prior to review. <br />TO 39Vd <br />NOdIa039N3 <br />96LT66960L TV:TT BOOL/LI/LT <br />