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U3/23/21111 14: 23 5308722968 PAGE 01/01 <br /> DATE RECEIVED <br /> _ SAN JOAQUIN COUNTY EHD LOG NUM BE <br /> �� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East <br /> Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 4G8-3420 Fa <br /> M/AR 7 1I x (209) 4640138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> —1\1%/IRON?trYEN�'AL i E tLTH <br /> A PL ; 1TT Sx_rRltfi d►e Environmental, Inc: SPI BUSINESS/AGENCY; <br /> ADDRESS: PO Box 1956 CITY/STATE/ZIP: Paradise, CA 95967 <br /> PHONE (1): 530/872 2 9 5 8 PHONE (2): FACSIMILE: 6301872 -2968 <br /> TENTATIVE'APPOINTMENT DATE: <br /> (Please allow 10 bUsineSs days D from date of application submitt&I• Tentative only-must bee; <br /> confirmed)CHECK BOX TO EXPEDITE REQUEST-$115 FE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> r, SIGNATURE OF APPLICANT _ �vpa/ <br /> DATE .� -Z-2 <br /> Electronic Information: [] List❑ Map,Description: <br /> FILE ADDRESS OwD use;ONLY <br /> Street# Street Name City <br /> 1 1789 W. Chater Way Stockton � I unitl <br /> 2. 1524 S. Fresno Ave Stockton <br /> 3. <br /> 4. <br /> 5. ZUn+it3 -r <br /> 7. __.2Unit4 f <br /> 8, <br /> 9, - - - ❑Unit 5 <br /> 10. " <br /> Specific Oate Range of Information Requested: From ❑Unit <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENTn {JfU1 <br /> OTHER CLEANUP SITE(NON-L.OP) ❑ SOLID WASTE FAClLITYNEHICLE <br /> �,{� ❑FOOD FACILITY WASTE TIRE <br /> E U • �'Il, <br /> NDERGROUND TANK(MONITORINWREMOVAL)C� ❑DOO KENNEL ❑DAIRY f I y <br /> HAZARDOUS WASTE GENERATOR—4, ❑CHICKEN RANCHI I <br /> El TIERED PERMITTED FACILITY ❑WASTEWATER TREATMENT PLANT <br /> TATTODIBOOY PIERCING <br /> ❑MOEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑ ❑POOL/SPA LISPA <br /> ❑ MEDICAL WASTE FACILITY ❑LAND USE APPLICATION SITES <br /> [�OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List UPJO 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 Elie type MUST be selected. Fax c 209 46 -0138 or ail to the dress Intl ted aboveAddressranges 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 now 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$11$deposit prior to review. <br /> S. If you need further assistance,please contact Diane Martinez,at(209)488-3425. <br /> -a -( i ya E140 USE ONLY <br /> EHD 48.06 <br /> e121/09 <br />