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SEP-03-2010 03 :26 PM TTTINS. ENV&ENG 949 2 0517 P.01 <br /> _.... <br /> EHD LOG NUMBER <br /> ) SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT / /� <br /> 800 Eaet Main 8t. Stockton,CA 95202-3029 1/.(lA (/ <br /> Telephone: (209)488.3420 Pax: (209)484-0138 Web:www,SJ®ov.o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: J 0 hk G t t N @ BUSINESS/AGENCY: GlM•ih8 w"• E'n4, :CkV <br /> ADDRESS: 223 2 2 F'(0. i h o CITY/STATE/ZIP; �I i t81D t 1V i o-CA q264( <br /> PHONE(1): q49- PHONE(2):_ FACSIMILE: 9' 9-t--1z- OS"1 -7 <br /> h5NTATIVE"APPOINTMENT DATE: q_ )(c- (d Time: 2 p p1 <br /> (Please allow 10 business days from d-ate o ap—i"—plication c—ubmlttal•`T-ITMNve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-6122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGN0URE OF APPLICANT DATE 9 -_3 -10 <br /> vE710OV70ni `I formation: ❑List C]Map-Description. <br /> FILE ADDRESS EHD USE ONLY <br /> NWilta Street Name Clty Unit i <br /> 1. 1 1d L OVAiii ogct S`toCKioh <br /> I <br /> 2. 2 `Z;� l_ooN+iB Roaol Stocktroh / <br /> 3. 0 LOOih b nit2 <br /> (;04� <br /> 4. 2. fro I ooVv)s IZoadl Stocktoh uaao, 3" CHs <br /> 8. 't-ITC L991-.ls RV,,7 cSlbcK#oh <br /> T , <br /> 8, <br /> 9• ❑Unit S <br /> Unit e <br /> 8{Y *Da ekanas of information Requested: From <br /> ENVIRONMENTAL HEALTH OppARTMJRT FILES to / <br /> UI_(LIa�';dJdRODNtl TANK(UST)CLEANUP SITE(LOP) ❑HOUSINO ABATEMENT []SOLID WASTE FACILRYNEHICLE 'a <br /> G'ftW CLEANUP SITE(NON LOP) ❑FOOD FACILITY ❑WASTE TIRE l <br /> Uta51!kORd�Ntl <br /> TANK(MONITORWOIREMOVAL)iJl DOD KENNEL ❑DAIRY ilvl�t �I`� <br /> HAt.AkDOU9 WASTE GENERATOR F CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT W (1 lJ"I <br /> 'TIEASb PERMITTED FACILITY 6(, ❑ OTE1INOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS `�, <br /> TATMbOI W�ASy� T F CI LI ❑POOVSPA ❑LAND USE APPLICATION SITES <br /> MHdICAI WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> L 0E1*TIC PERMIT RECORD$ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY 5;00 AM-6;00PM(EXCLUDING HOLIDAYS <br /> i• r In the apace above. Select the types)of file$from the list above by checking the appropriate <br /> Lb1tt s),'least one fib type MUST be selected. F I In Address <br /> 4a 1'00 tbhl�hot be accepted-for additional assistance with file addresses,contact the EMU. Applications received atter <br /> Jai 'PM Will be Processed the next business day. <br /> 2. T 4114Id will notify the applicant H any EHD files exist. An appointment for review will be confirmed approximately tan(10) <br /> days$)'Oar Iboelpt Of applicatlon. The files will be hold for a maximum of five business days for review. Appointments <br /> Should bM 6cheduled accordingly. <br /> y. A fha that Is setively being worked on by EHD staff may not be Immediately available for review. A now application may be <br /> 206htittled when the fife Is available. <br /> `4. Adt.11 "61 returned In the same condition as released WIN be reorganized by EHD staff at the expense of the applicant. <br /> FU GYe 1116 review&by the some applicant may require a$122 deposit prior to review. <br /> D. es <br /> -7 ) iS <br />