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r 07/11/2012 12:59 9163711809 KHNLY UtUIEUHr4iUAL I'Aht U1/U1 <br /> • • EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JUI_ ] J 7.Mlephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehri1 <br /> _q <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: T ff c1 a1 t•P BUSINESS/AGENCY:—Raney r_aotech �ric. <br /> ADDRESS: CITYISTATE/ZIP_W_p sacramanto CA- 9_5691 <br /> PHONE(1): 916-371-0434 PHONE(2): FACSIMILE: 916-371-1809 <br /> TENTATIVE'APPOINTMENTDATE: July 20 , 2012 Time: <br /> (Plaase allow t0 business days from dato of.120cation submittal•`Tentative only-must be conflrmed) <br /> ❑CHECK BOY,TO EXPED REQU -S125 FEE(C SH HECK ONLY)-REQUEST PROCESSED IN 3 BUSI SS DAY <br /> SIGNATURE OF APPLICANT DATE / <br /> Electronic Information: ❑ List❑Ma Descriptio <br /> FEHD USE ONLY <br /> FILE ADDRESS <br /> Streets Street Name Dib ❑Unit 1 <br /> 1. <br /> 1440 PERFORMANCE DR STOCKTON <br /> 2.� 5476 S AIRPORT WAY STOCKTON <br /> 3,— 6503 S AIRPORT WAY SYOCKTON I Q �/7 i <br /> 4. 7759 SAIRPORT WAY STOCKTON '< cJ unit <br /> Iq <br /> S. <br /> 6. <br /> 8 ❑unit 6 <br /> 9. <br /> 16. ❑Unite �I <br /> Specific Data Range of Information Requested: From to 57 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOUDWASTE FACILITYNEHICLF. ­7 <br /> ®OTHER CLEANUP SITE.(NON-LOP) ❑FOOD FACILITY El WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)I!¢ ElDOG KENNEL ElDAIRY <br /> " HA7.ARDOUS WASTE GENERATOR d+ ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> FATIERED PERma-TED FACILITY ❑MOTEIJHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ,n�+POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY LJ COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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(2091464.0138 or mall to the address Indicated above, Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. 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 ton(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 NO 13 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$125 deposit prior to review. <br /> Z ` _ EL LY ! 'I— <br /> R 5 2. <br /> UI Y lVa <br /> StAI <br /> vt T— <br /> F.Hn AB-OB <br /> Received Time Jul. 11, 2012 1 :26PM No. 0524 <br />