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6eo-21-07 14:10 From-BROWN AN' -ILOWELL 916 635 8605 T-832 P.002/002 F-961 <br /> EHD LOG NUMBER <br /> U L5�D SAN JOAQUIN COUNTY <br /> AUG 2 ENVIRONMENTAL HEALTH DEP "'M <br /> 1 2007 600 East Main Street, Stockton,CA 95202-3029 JVD/ <br /> ENVIRONMENT HEALTTelephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov. <br /> 01 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT: A I ` <br /> BUSINESS/AGENCY: <br /> ADDRESS toSQ 15D GNtItD ew-mik C-A�(�5l10nWUyL� <br /> PHONE(i):'"l�� l/7�~ S3J� _PHONE(2); 7-0l _t[Z FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE.j Time: It) '00A►yt <br /> (Please allow 10 business days from date ofaWIjqWljjm submittal-•Tams mve only-must be confirmed) <br /> 17 CHECK Box To EXPEDITER QUEST.$08.00 F E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS _ END USE ONLY <br /> street Street Street Name City <br /> 1. U OL ❑ Unat <br /> Wm4h `�77Y C D . SibLj�T17 N <br /> 2. T)`F$ Wb+- �CiMo7l�- �T}- h7llG�1�N (45T tAA Unb2 <br /> 6- 3 <br /> U1V s- <br /> 4. <br /> Fr. Unitll <br /> f 6. <br /> T. Unit 5 <br /> 8. <br /> 9. ❑ unit <br /> 10. <br /> Spec Date Range of Information Requested:From All to q.1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ZrUNDERORWND TANK(USTI CLEANUP SmE(LOP) =Hou&NG AOATENENr CI SOLID WASTE FACILryNV iCLE <br /> 8'OTHER CLEANUP sne(NON-LOP) ❑FOOD FACILITY O WASTE TORE <br /> ErUNDERGROUND TANK(MONnVRMG/REMOVAL) Cl DOG KENNEL ODAIRY <br /> e HA]AR000SWAsrEGENERATOR 0CHICKEN RANCH MWASTEwATFRTe9ATMENTPLANT <br /> TIERED PERMITTED FACILITY 0MOTEJHOTEL 0 PUMPEe TRUCK/YARDICNEM TOILETS <br /> Cl TATTOO/BODY PIERCING Cl POOL/SPA MI.AND USE APPLICATION SITES <br /> 0 MEDICAL Www FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEF nc PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 A51S:00fm -ExCLUOING 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 46"138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EMT).Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any END 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 END staff may not be immediately available for review. A now 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 END staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$98.00 deposit prior to review. <br /> END USE ONLY <br /> ENp H-06 wEe mat <br />