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DKtkwt <br /> 1 tl t U SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> FEB 0 & 201? WNVIRONMENTAL HEALTH DEPARTMEO <br /> 1: (2 East Hazelton Avenue, Stockton, CA b:ww 6232 5515 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> L1 PEMMIT �ffALHfI�#dlli PUBLIC RECORDS RELEASE APPLICATION <br /> t>s`iseernst� �, ,t <br /> APPLICANT: L}GLfI' & John&hn BUSINESS/AGENCY: EFT &IobaA <br /> ADDRESS: ,Z ( wat CITY/STATEfZIP: ( Pf C, <br /> PHONE(1): R54-(0300 PHONE (2 : (3l0)89y-0jgy c�-. FAX R E-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to b availabl . 910f76 1. WM <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1. List up to ten addresses in the space below. Select the type(s) of files from the list below 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 indicated above Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD 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 /> 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: 0 List 0 Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> 14 UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) I/1J. 1�v/,, P� //��//,�, �/I /�, �� CONNVMER I�W <br /> }OTHER cu NUP SITE(NON-LO wOtN Hwy 88 LOL/F'(&-c MU L/�' �-- <br /> RJHAZARDOUSWASTE vi "l <br /> tCj4AX4 La <br /> TIERED PERMITTED FACIL 2 <br /> ABOVEGROUND TANK <br /> Lie UST (MONTfORING/REMOVAL) ��[�^•`�❑--PWS <br /> ISI HAZARDOUS MATERIALS 3 , <br /> a <br /> gSPILURELEASE RESPONSE / <br /> SOLID WASTE FACILITY/VEHICLE 4 WATER DIIALTTY <br /> ❑FOOD FACIUTY <br /> F1 POOL/SPA Ed SITE MITIGATION <br /> F1 DAIRY 6 <br /> LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK I S ❑HGusInG <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT14 CUPA <br /> HOUSING ABATEMENT 7 ll..//�� ,,./� 7Y <br /> MOTEL/HOTEL M1M1M1LLL1 I <br /> — <br /> cupq-usr <br /> CHICKEN RNJGH/DOG KERNEL �F M /gyp <br /> MEDICAL WASTE FACILITY 3 C© t ( T•- f:JT <br /> I <br /> TATTOO/BODY PIERCING n <br /> WASTE TIRE B t,� v.�'� t�SOuo Wg9TE <br /> �CbMPLAINi <br /> ®OTHER(PLEASE SPECIFY): ACCOUNTING <br /> Wet( rr Ho iD <br /> "'BOXED AREA-EHO USE <br /> ONLY— <br /> rly�e_cords provided by Staff-PPR Complete. staff Name: <br /> EHD 46-D6 <br />