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bAT7 0612006 1p6r:: 24 464013c ENVIRONMENTAL HEALTH L'PGE Ir02UL ` <br /> ��F V EFD SAN JOAgUIN COUNTY <br /> /dt 2007ENVIRONMENTAL HEALTH DEPARTMENT <br /> ee , Stockton, CA 95202-270 3 <br /> �lephone: (209) 46 3420 Fax; (209) 464-0138 Web: wwTnv.sjgov.or d <br /> PEWIT/SERVICES laa0 ead'"f / ail,-, <br /> PUBLIC RECORDS ItELFASE APPLICATION <br /> APPLICANT: Mii Reami BUSINESSIAGENCY:_ we's JyG - 91 A r&soag4 cS <br /> ADDRESS: 207_ tfa.l 17rvviyl (7av((WaY, Skj'k Y00 I ,S jv, t ,,. _.6,}- q'�jLU <br /> PHONE (1): 205) 9X3- Ci PHONE (2): FACSIMILE: zo 9 Yeti - (a <br /> TENTATIVE*APPOINTMENT DATE: S/'�l0 Y T?7 5��0�ti�' Time: In. / <br /> (Please allow 10 business days from date o applicatio submilta r ive only-must be c nfir <br /> ( jL7�Gki ECK BOX TO EXPEDITE REQUEST- 93 00 F ( O HEC Y).REQUEST PROCESSED IN 3 <br /> Ali <br /> SIGNATURE OF APPLICANT ATE 5 K to <br /> UNIT DISTRIBUTION 173 Unit 1 ❑ Unit 2 ❑ Unit 3 ❑ Unit 4 ❑ Unit 5 ❑ hor(electronidlists/maps) <br /> FILE ADDRESS HD USE LY <br /> Street# Street Name City <br /> E 1 O <br /> 5. <br /> 3. H1.5l <br /> . ._ I l�lSA�2K5 <br /> J— uc 0 A(tFC <br /> P6. 7_ �D E �k do t F ` IFG <br /> T <br /> Ific Date Range of Information Requested: From to _ <br /> ENVIRONMENTAL HEA ARTMENT FILES <br /> Z UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING AB MENT In SOLID YL:.TE FALITYNEHICLE , <br /> OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL Cl DAIRY <br /> HAZARDOUS WASTE GENERATOR 0CHICKEN RANCH 1:1 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 13 MOTELIHOTEL 0 PUMPER FRUCKIYARD/CHEM TOILETS <br /> 1[[0 TATTOOIBODY PIERCING 0 POCUSPA 0 LANE)USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY CD OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-S:OOPM - 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address <br /> indicated above. Address ranges will not be accepted —for additional assistance with file addresses, contact <br /> the EHD. Applications received after 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 <br /> approximately ten (10) days after receipt of application. The files will be held for a maximum of five business LU <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> EHD 411 <br /> 111 A/OS <br />