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APR 16,200B 12:22 000-000-00000 `. page 1 <br /> 11Ed1`IVEtl�AiL r <br /> — SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> APP, 1 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT t <br /> 600 East Main Street, Stockton, 95202-3029 q <br /> 5� <br /> ENVli U vi49cJ'i E:;Lt Telephone: (209)468-3420 Fax: (209)464.013838 Web: wwwsj90V 0 /eh <br /> PUBLIC RECORDS RELEASE APPLICATION L <br /> APPLICANT: r T f BUSINES$IAGENCY: rrilnlll wfiyI Lr,S <br /> ADDRESS: 3 q <br /> PHONE(1):-9 16, 117, .1;.��Y PHONE t2): '�QO. �o /�1p�i • 'IYP.rj FACSIMILE: �v-u <br /> TENTATIVE"APMNTMENT DATE:_ (.r✓V �1YB Time: /�;7-l� <br /> (Please albw ten buslnsaa days from dote of Ike onto aupmMnl-'Tentative only-meet be Confimrod) <br /> 13 CHECK BOX TO EXPEDITE REQUE$ - F (CASH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSIN SS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: E7 List E]Map-Description: <br /> FILE ADDRE88 EHD USE ONLY <br /> Stroets Stlial <br /> � 1NanM,�• City ` <br /> 1 I 1 �e,�r'n0✓]fNSA � ❑Unit$ ,/ <br /> �\� Baa W, . _1� - J Af 6+f§ _ tlo E3 Unit 1 <br /> rP I/r�L t S'1', NSTL nits <br /> � <br /> 3'L�f d 'o oz) (,6r10 M <br /> .. LL, Unit <br /> a 1 �1_.( mom��. c5lt-,-A1c �^ aZ <br /> .. N[.iLiL Lin L7.SG`d�si N C��j, <br /> �{G 5 N. rc%:.51)yj! S h Nfi�' c t _-tovl p e <br /> Specific Date Range of Information Requested:From � r' <br /> �,{ ENVIRONMENTAL HEALTH DEPARTMENT FILES �F/ �S /dJ✓,,�n <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O yyy <br /> HOUSING ABATEMENT OLID WASTE FACILITYNEHH:LE <br /> 4OTKERCIEANUP ShE(NON-LOP) IIISSS ❑FOOD FACL" ASTE TIRE (J <br /> 'XUNDERGROUND TANK(MONITORIN(UREMOVAL)y` Q DOG KENNEL ❑DAIRY <br /> AIARDOUS WASTE GENERATORA. I O(THICKEN RANCN C3 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITYAf.. 0MOTWAIOTEL Cl PUMPER TRUCKIYARDICHEI TOILETS <br /> 0 TAUT omooY PIERCING 0 POOL/SPA ❑LAND USE APPLICATION a1Tes <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WEL4 AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW-MONDAY-FRIDAY 6:00 AM•S:DGpM • 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. pax to 120,1191 464-01 36 or mall to the above address. Address ranges will <br /> not be accepted-for additional assistance with Ne addresses,contact the EHD. Applications received after 3:00 pm will <br /> be processed the next business day. <br /> 2. The EHO will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten <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 the ENO staff may not be Immediately available for review. A new application <br /> may be submitted when the file Is available. <br /> 4. Any fila not returned in the same Condition as released will be reorganized by EHO stall at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> T ,s nVso345 O 3/5� <br /> EHD IOM 1Q'EWT - _ <br /> PV&.IC RECrRgr RELEASE APP PoRId <br />