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EHD LOG NUMBER <br /> RF,Tft1)E SAN JOAQUIN COUNTY <br /> SUN 2 3 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> EE MIT NTAL C SDOPhone: (209) 468.3420 Fax: (209) 464.0138 Web: www.sjgov.org/ehd <br /> N P <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sau San BUSINESS/AGENCY: Partner Engineering & Science <br /> ADDRESS: 400 2nd Street, Suite 415 CITY/STATE/ZIP:San Francisco,CA 94107 <br /> PHONE (t): 415-373-6317 PHONE(2): FACSIMILE:415-889-6020 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE R - 122 FEE(CASH OR CHECK ONLY)-REOUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 6/23/11 <br /> Electronic Information: ❑ List ap-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a Street Name city -- 1 <br /> VL <br /> 1 2402 South California Street Stockton (,(GJ <br /> 2• nit 2 <br /> 3. <br /> UMt3 ' <br /> 4. <br /> Q <br /> 5. <br /> 6. ZUnR 4 <br /> 7. <br /> B - <br /> O Unit 5- <br /> 9. <br /> 10. -- <br /> Unll 6 <br /> Specific Date Range of information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> tU <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOUD WASTE FACtLITYNEHICLETHER CLEANUP$ITE(NON-LOP) ❑FOOD FACILITY WASTETIRE <br /> NDERGROUND TANK(MONITORING/REMOVAL)� DDG KENNEL DAIRY "nti /AZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATERTREATMENT PLANT v� <br /> HAZARDOUS <br /> PERMITTED FACILITY. ❑MOTEL/HOTEL PUMPER TRUCKIYARO/CHEMICAL TOILETS <br /> ATTOOIBODY PIERCING ❑POOLISPA LAND USE APPLICATION SITES <br /> .MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY B:00 AM-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(2091464.0138 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 EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days atter 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> S <br /> -S <br /> A <br /> EHD 4" 01(1Bn0 <br />