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___-95/17/2010 10:00 FAX 191678738'!. Credit Msmt Group — 0002 <br /> ' 0EHIDLOGNINPE <br /> �O ° eai� i j SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.rjgov.org d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Teddyr. Fa st BUSINESS/AGENCY: Wells Far o Bank <br /> APPLICANT: Te <br /> ADDRESS: — 1620 E. Roseville PKWY #100 CITY/STATE/Z1P: Roseville CA 95661 <br /> PHONE(1): 916 787-9394 PHONE(2): FACSIMILE: 916 787-9545 <br /> TENTAT[VE'APPOINTMENT DATE: Time: <br /> in-nn Am <br /> (Please allow 10 business days from date of application submmat-'Tenfa.only.must bo Confirmed) <br /> ❑CFIECK SOX TO EXPEDITE REQUEST-$115 FEE(CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS D YS <br /> SIGNATURE OF APPLICANT L/�� DATE 7._ <br /> Electronic 1nformation: ❑List❑Map-Description: <br /> _ FILE EHD USE ONLY <br /> ADDRESS <br /> Sheol i� Street Nemo — city �_ Uniti <br /> Jo1Yl/ / l <br /> 1. F� <br /> 2. ., ❑Unit2 <br /> 3. <br /> 4. � <br /> 5. <br /> 6 ❑Unit 4 <br /> 7. <br /> S. Una 5 <br /> 9. <br /> 10. 0 Unit 6 <br /> Speck Date Range of lnformadon Requested: From April 1990 to er i 1 1991 1 � 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES l <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACIUTYNEHICL.E t / ' I <br /> OTHER CLEANUP SITE(NoN-LOP) ❑FDOD FACIUTY [:]WASTE TIRE <br /> NDERGROUND TANK(MONITORIN LMOVA /, ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT �d <br /> E]TIERED PERMITTED FACILITY L3MOTELIHOTEL PUMPER TRUCKIYARDICHEMICALTORETS ��1/Z(,�/L <br /> ❑TAT oolBOOY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SOES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY.FRoAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of Flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(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. Appllcatlons 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 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$115 deposit prior to review. <br /> S. If you need further assistance,please contact Diane Martinez,at(209)468.3425. <br /> ENP USE ONLY <br /> Ain <br /> �,F� C U 2119 <br /> EH0<&DI <br />