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11/30/2009 13:52 5099264415 UPS PAGE 01/01 <br /> G1�� V LIJ 0 SAN JOAQUIN COUNTY • EHOLOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV 3 0 2009 600 East Main St. Stockton, CA 95202-3029 <br /> T lephone; (209)468-3420 Fax: (209)464-0138 Web: www.sjgoy.org y <br /> E PV( ONMENT14EALTeFI PUBLIC RECORDS RELEASE APPLICATION o <br /> APPLICANT: SPIN I lyCr7 I 1 y01BU I ESS A ENCY: V�� �,Oroy <br /> ADDRESS: gA!2 ,, 42_6Q . I4. S-ti~-,:Sero CITY/STATE/ZIP:— <br /> PHONE(1): <br /> ITY/STATE/ZIP:PHONE(1): Sa9&jmk:_/ 3 PHONE(2): Spj - 9YFACSIMILE-.__$319 <br /> 1�yJ" TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confrmed) <br /> /, �C CHECK BOX TO EXPEDITE REQUEST-$115 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> �w` SKM URE OF APPLICANT DATE <br /> ^ Electronic Information: ❑List ❑ Map-Description: <br /> \')( FILE ADDRESS EHO USE ONLY <br /> Street# street Name City Unit 1 <br /> 1. 55a _. ..W_1 �" S}nc vt� 06 .� <br /> 5i - <br /> 2• bs�y YLLCw�IG Unit <br /> 3. a.j73 o�4(J�hf s..�oad _ Stoctt�n. u51 <br /> 4. <br /> V 3 <br /> 5. <br /> 7. <br /> 8. nh s <br /> 9. <br /> unit e <br /> Specific Date Range of Information Requested: From 1960 L= to P'117.Cdwn ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ���,,,,,,((( �fpr�� <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT OLID WASTE FACILITYNEHICLE� I L/ <br /> OTHER CLEANUP SRE(NON•LDP) F-1 FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONR0IG <br /> ORIREMOVA4)�C El DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATORO` El CHICKEN RANCH PWASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTFL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM$:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4640q$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 Ove 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 some applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468.3425 <br /> EMD USE ONLY <br /> DW 09-08 8/27109 <br />