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nHx-ib-LU]U TUE 02:49 PM H V H FAX N0. 91R 383 6014 P. 01/01 <br /> HELM ./ <br /> SAN JoAQUIN COUNTY EHD LOG NUMBER <br /> MAR 1 6 2010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 3t Main St. Stockton, CA95202-30295 ( Zc3 <br /> ENVIRUNI'wECVl HEALTH Telephone: (209)468-8-3420 Fax: (209) a64-01388WebWebww; www.sjgov. <br /> PERMIT/�ERVI� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:- N Y2i�, <br /> ADDRESS: BUSINESS/AGENCY: /y/f �w�JECz /NCS <br /> /,� �,y � � �A/AY <br /> PHONE 7 6231 ro CITY/STATE/ZIP: _PTO C,4 9 '826 <br /> TENTATIVE"APPOINTMENT DATE:O31,3(1z0fc-1 � _ IIS FACSIMILE: /(o) 3 - O14 <br /> (Please allow 10 business day6 from data of appllcatlon 6ubmittal-•Tenrativa only-must be —o ' O <br /> FD CHECK BOX TO EXPEDITE REQUEST- 15 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS <br /> SIGNATURE OF APPLICANT DAYS <br /> DATE S-16 •20/0 <br /> Elactronlclnformation: ❑ List Map-Descrption: <br /> FILE ADDRESS EHD USE ONLY <br /> Streetp Streat Name City <br /> 1' S CIO\ $7CEET S un t <br /> '2 s7Dcc ler+` of-s y <br /> 3. <br /> �•_ Unit 2 <br /> a. <br /> S. <br /> s. <br /> 7. Umt4 <br /> 8. <br /> 9. Unit 5 <br /> 1 D, D - <br /> quested: From to Q <br /> Spacific Data Ran o of Information Re E3Un@ 6 <br /> 1r��i ENVIRONMENTAL HEAL H DEPARTMENT FILES <br /> 9UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILRYNEHICLE f7(S <br /> ❑OTEIEk CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 3 <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑WASTE TIRE J ? <br /> HAZARDOUS WASTE GENERATOR OC ❑DOG KENNEL ❑DAIRY �/I J <br /> ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEUHDTEL ElPUMPER TRUCKfYARDICHEMICAL TOILETS <br /> E:1TATTooBooy PIERCING <br /> ❑ El LAND USE APPLICATION SIT ES <br /> El MEDICAL <br /> (P MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 0:00 AMS:DOPM(EXCLUDING HOLIDAYS) <br /> 1. List uo to ten addresses in the space above, Seleet the types)of files from the list above by checking the appropriate <br /> box(ee). At least one file type MUST be selected. Fax to2DB 484-0138 er mail to a address Indicate bove. Address <br /> ranges will not be accepted-far 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 files exist. An appointment for review will be confirmed approximately tan(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$115 deposit prior to review. <br /> S. If you need further assistance,PIOaSO contact Diane Martinez,at(209)468.3425. <br /> ^) CHO USE ONLY <br /> u ` 1 iN- <br /> a — r ✓ � r r DD IS <br /> EHb as-SS <br /> N271oe <br />