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.(,�"f.�.[� 'I((��- • EHD LOG NLJMBER <br /> IIIJJ��L', T�\ t(LIPI! U SAN JOAQUIN COUNTY <br /> ZOiO ENVIRONMENTAL HEALTH DEPARTMENT t <br /> 600 East Main St. Stockton. CA 95202-3029 !!"� <br /> E�1�€��,��)t�j�ENT H'EAR14ephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org eh, } <br /> pEplk.jE SERVIIGES M PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Cot'l 1 IpfT BUSINESSIAGENCY: 5 v:ce5 <br /> ADDRESS: l-11 iq CITYISTATEIZIP: S, CJS <br /> PHONE(1): % yg0•c xA PHONE(2): FACSIMILE: Ilk q40 O <br /> TENTATIVE"APPOINTMENT DATE: �}�1 l0 _ Time: rc 9 oD <br /> (Please allow 10 bu,iness days from date o . P_IICadon submittal.•Tantadve only.must he confirmed) <br /> ❑CHECK BOX TO EXPEDITE RE EST-$115 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3 2(i ICJ <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Nem. City, unit <br /> 1. qS I Av� <br /> /tt 2' Lr51].r.r AVG .... ❑UnI <br /> br 3. SS u (;-r7, DfC�S <br /> 4- <br /> 5. <br /> 6. .0n4_ <br /> T. <br /> 8. ❑Unit 5 <br /> 9. <br /> El <br /> 1D. <br /> Unit 6 <br /> Specific Data Range of Informadon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,2WNDERGROUNo TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> ER CLEANUP SITE r(�N�ON-LOP) ❑FOOD FACILITY ❑WASTE TIRE �� v� { <br /> UNOERGROUND TANK(MONRORINGMEMOVAL)V� ❑DOG KENNEL ❑DAIRY u.r/l l <br /> Lp HAZARDOUS WASTE GENERATOR CN. [7 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT }(( (,�jj//� <br /> El TIERED PERMITTED FACILITY a LlMOTEL/HOTEL [I PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTODIBODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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 up to ten addresses In the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 120914640139 or mall 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 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 fila not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future Elle reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance, please contact Diane Martinez,at(209)468-3426. <br /> EHD USE DNLY <br /> t4-1-t 5 �Ae-_2 L4-1-10 * u <br /> 'i- <br /> i (.0 0 <br /> EHD arae amN9 <br /> l00/LoOl XHj L0 .60 0102/9Z/EO <br />