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AugA,15 2008 2:39PM <br />DATE RECEIVED <br />• <br />SAN JOAQUIN COUNTY <br />92*3-2109 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 Fast Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.o !e <br />PUBLIC RECORDS RELEASE APPLICATI N <br />P.1 <br />EHD LOG NUMBER <br />BUSINESSIAGENC1Y: L-A <br />CG. <br />1'^GVt. Cltylst-wzip r1T <br />FACSIMILE: -- 2.(17 <br />Z <br />A <br />Time: <br />submittal - •Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $105 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT �3 � DATE F,/5 -OZ <br />Electronic Information: ❑ List ❑ Map - Description: 'S 246. ,3- OQt6-1_3- <br />6 3 l�4 <br />FILE <br />FILE ADDRESS <br />EHD USE ONLY <br />Street # <br />Stroet Name City <br />C r c ❑ Unit 1 <br />�,G'k, <br />1. <br />s <br />rr �� <br />t V Gd fwd • <br />2 <br />❑ Unit 2 <br />3. <br />4, <br />Unit3 <br />5. <br />Unit 4 <br />6. <br />7. <br />❑ Unit S <br />8. <br />❑ unit 6 <br />10. <br />_ <br />�1 <br />Specific Date Range of Information Requested: From 15 7 �1— to �(1`CS G✓ <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES kr r <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILn"YIVEHICLE iJ <br />OTHER CLEANUP SITE (NON -LOP) In FOOD FACILITY ❑ WASTE TIRE W1 ,I { �� <br />UNDERGROUND TANK (MONITORIN�G'yIREMOVAL)/k ❑ DOG KENNEL 0 DAIRY <br />HAZARDOUS E3WASTE GENERATOR V\ Y �� CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />Q TIERED PERMITTED FACILITY Q MOTEL/HOTEL O PUMPER TRUCK/YARDICHEM TOILETS <br />TATrooieoDY PIERCING O POOLlSPA 17 LAND USE. APPLICATION SITES <br />M MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REv1Ew - MONDAY -FRIDAY 8:00 Am -5: Wpm - 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 (2139) 464-0138 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 END 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 rile that is actively being worked on by EHD staff may not be Immediately available for review. A new application maybe <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 $105 deposit prior to review. <br />EHD USE ONLY <br />