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06/06/2011 16:20 9254260106 BUREAU VERITAS PAGE 01 <br /> R - ° 6I�ED SAN JOAQUIN COUNTY <br /> JUN 0 6 2011 ENVIRONMENTAL HEALTH DEPARTMENT V-vv' V"1V1I <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENTAL HEALTH <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sj9ov.org/ehd W <br /> \y <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: ei /I ly BUSINESS/AGENCY:- <br /> ADDRESS: •YI 0 GMO CITY/STATEIZIP:Sa4 Ar,me o 9 y S&-3 <br /> PHONE(1): -7LjL7K-f,5 i> PHONE(2):gZ.6-L(a0-,�j)D0'FACSIMILE-f22_S- yZb-O/Q /o <br /> TENTATIVE*APPOINTMENT DATE [p- 13- 17 Time: IQ <br /> (Please allow 10 business days from date of application submittal-'Tentative only•must be c ,d) <br /> ❑CHECK BOX TO EXPEDITE RE UEST-$122 FEE CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electroniclnformation; krusap-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street K Street Name City unit 1 <br /> 1. a _54r r�g,� is sl U ; N o <br /> 2. N r f�l SG r aye,lv S!% 1i i J Unit P <br /> to 3 <br /> ct� h n•_ <br /> Unit5. <br /> 3 /„ <br /> ti. <br /> Unit 4 <br /> 7. <br /> B. <br /> 9 <br /> 1G. <br /> :uj <br /> Specific Date Range of Information Requested: From 641 to <br /> ppe�r� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> -Lr��]�,,�UGNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ADATEMEw ]'$OLID WASTE FACILITYNEHICLE -5� <br /> .ty ETHER CLEANUP SITE(NON-LOP) �+y ❑FOOD FACILITY ASTE TIRE will§x�'"UNDERGROUND TANK(MONRORINGIREMOVAL) \ ❑DOG KENNEL OAIRy will 3 <br /> 4�j HA7.AR000S WASTE GENERAT/TOR10,4— CHICKEN RANCHTREATMENT <br /> .10 11ERED PERMITTED FACILITYrn �wASTER TRUCKHEMICA T <br /> V \ ❑MOTELIHOTEL El PUMPER TRUCKIYgRDICHEMICAL TOILETS <br /> ❑TATr00BODY PIERCING ❑POOLISPA <br /> [:1 MEDICAL WASTE FACILITY L]LAND USE APPLICATION SITES <br /> OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY S:OO ANt-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List unto ten addressee 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. F x to 209 4 -0136 or Mail to the addre s Indicated albove. 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 accordingif <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 some 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> 5,n�� <br /> nYpa�n <br />