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EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTN`f_ <br /> 600 East Main St. Stockton, CA 952029 <br /> j4 a u J .. . <br /> F „_,,�. Vephone: (209) 468-3420 Fax: (209) 464-0138 Vlleb wvJw.sjgov.orglehd <br /> }; ; f:; `?'�.'I S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BUSINESSIAGENCY: <br /> ADDRESS: VISI. kC ZCO CITYISTATEIZIP: C_05I C^ <br /> PHONE(1): r (P 0 PHONE(2): IO`Cv -CPZ(�? FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: fireC�a I Z 2C)IQ Time: _ AYy1 <br /> (Please allow 10 business days from date of app ca ion sub I Terrtafive only-must be confirmed) <br /> HECK BOX TO EXPEDITE REQ T-$115 SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUST ESS D YS <br /> SIGNATURE OF APPLICA DATE, <br /> Electronic Information: 3 Llst�KMap-- scription: R 0 Ai fb ✓Y'L�n t � ✓I �� <br /> FILE ADDRESS A -A eAfolEHD USE ONLY <br /> Street# Street Name City ❑unit <br /> 2- L I� .� _ J06-Err <br /> 3. 1Z (WO <br /> 4 — Unit 3 <br /> 6. - ' �y Z 0 <br /> J�1 ��r Unit4 <br /> l3. 'a C)22, j Pry lh ❑Unit 6 <br /> 9. 3 CZ:)'+D <br /> 10. Unit 6 <br /> Specific Date Range of Infomaation Requested: From u I{ i to Z'Y'p_s_ k:IA- <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES I <br /> k_[1jNDERGROUN'D TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT FVOSOLID WASTE FACiL(TYNEHICLE <br /> (� OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE I <br /> NDERGKOUND TANK(MONITORINGIREMOVAL) Q DOG KENNEL ❑DAIRYn� ! <br /> AZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY L_-I MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> I ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> �Q MEDICAL WASTE FACILITY E]OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR.REVIEW: MONDAY-FRIDAY 8:00 AME-5:00PM(ExCLUDING HOLIDAYS) <br /> 1. List up to 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 file type MUST be selected. Fax to (209)4640138 or mail to the address indicated above. Address <br /> ranges 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 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 EHD 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$115 deposit prior to review. <br /> S. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD USE DNLY _ <br /> Z k18 4N, <br /> JCV <br /> EHD 48 Li 60 -121 z. � U f 7JQ8 <br /> � � lid i�/I/fj <br />