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04/23/2667 11:27 1310798?841 PAGE 01 <br /> r PATE RECFJVED FHD 1011.NUMBER <br /> SAN,TOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 609 E. Main Street, Stockton, CA 95202-3029 <br /> Web; <br /> ww.s AO 737 <br /> Telephone: (209)468-3420 Tax: (209)464-0138 Web: wwwsjgov <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: _�E�T��Q PEI.-�CI"� crS��I BUSINESSIAGENCY:Aft (,ONSIJ LTNNTtS <br /> ADDRESS: Zoo CRMO -NO M&ISGC, SUX-TE ZOO VVPrLNV CR Cfr CJ45 <br /> PHONE(1): (g2s11'33-(aC- PHONE(2): ( bl �0(p-2bSU FACSIMILE:caa5; auu-7685 <br /> TENTATIVE*APPOINTMENT DATE:— 4 LI . 2-001 rime: IU' <br /> (Please allow 10 business days from date OfYpppllcatlon submittal-*Tentative Only-must be confirmed <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 Bl <br /> SIGNATURE OF APPLICANT _ L -� DATE I I z2S, <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street%_ Street Name _city (,ASS Unit <br /> 1. 157-L1 5 . fi`esYYJ AVenoSACK I-NZ --ir,6 2 <br /> 2.3. IG(00 N dV DT 1 V r✓d unit 2 <br /> ,! IP�1 l Fresin6 PrVCvn0edt�G r <br /> 4. t �nit a <br /> 6 OOP" Unit 4 <br /> 7, <br /> ❑ <br /> Unit 5 <br /> 8. <br /> 9. <br /> 70. Una 6 <br /> Specific Date Range of Information Requested: From to •PrP,$c-r;l <br /> *4 <br /> �{ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING AaATEMENT M SOLID WASTE FACILrTYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY .WASTE TIRE <br /> UNDERGROUND TANK(MoinmomNOIftemov L) CI Doe KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANOH CI WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUIOWYARD/CHEM TOILETS 41"C <br /> O TATTOO/BODY PIERCINO Q POOLISPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPEC)FY) <br /> WELL AND SEFnC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 9:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses In the space above. Select the typs(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax (209)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 EHD 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 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 fila 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHO+e.oe ensrz�oc woo - <br />