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U5/10/2008 09:54 9164463303 <br /> MATT i <br /> 0 PAGE 01 <br /> DATER CEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT r- <br /> A r � <br /> 600 East Main Street, Stockton, CA 95202-3029 S(C" <br /> Telephone: (209)468 3420 Fax: (209)464-0136 Web: N v✓wsjgov.org/e d..� <br /> PUBLIC RECORDS RELEASE APPLICATION MIRY 19 �OflB <br /> APPLICANT;_ MA� SMALt-(_y - [/� <br /> ADDRESS! 'L (/. (_..(ice.3-0 (')A� BUSINESSlAOENCY: X41 ' } ;{EAj= <br /> PHONE(1):_21 PHONE 12); <br /> FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: 5 ZV_o e <br /> (Please allow ten business days from date ora ecanon submittal-• Tim: 11 3„� V 9-1 <br /> PP Tenfe[ive only.must ba confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$9 00 FEE ASH OR CHECK ONLY).REQUEST PROCESSED IN THREE BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 6 Y/ <br /> DATE <br /> Electronic Information: ❑List Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street III Street Name — ..._............ --_ <br /> City <br /> 1• 130 1.- 0"0 WAV 5 5r0cfc_M^j I7 unit1 <br /> Z• IIbp W. yUS I /{vF__VF NfAA cR b /� <br /> 13 (_ffg <br /> �/ ❑unn2 <br /> 3. 1 Lam_ 27F.Q W,9yr STUCk7d 1 <br /> 4. / Gv 4 F11Ld0 �O <br /> 2a4a s UUc tvJ <br /> 6, 35a� 95ts �! Unna <br /> s. _ <br /> 7, units <br /> 0 Unit <br /> 10. <br /> units <br /> Specific Date Range of Information Requested:From 4-4y to 0 P2E5frl r <br /> yy ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> /W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> POTHER CLEANUP SITE NON-LOP SOLID WASTE FACILIWIVEHICLE <br /> Z UNDERGROUND TANK ill <br /> 13 DOD KENNEL <br /> ❑WASTE TIRE <br /> IMDRATOR GIREMOVgL) ❑DOD KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> TIERED PERMITTED FACILITY WASTEWATER TREATMENT PLANT <br /> TATTOO/BODY PIERCING 0 MO LISPATEL �PUMPER TRUCIWAROICHEM TOILETS <br /> 0 MEDICAL WASTE FACILITY PWU9PA C �" LAND USE APPLICATION ITES <br /> OTHER(PLEASE <br /> $PECIFY�Lvr%//nrN(r (� � TA SSL n,rME <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW-MONDAY-FMOAY 8:00 AM-6:00rWTJ <br /> PM- EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses 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. Fax to 2091484-0118 or mail to the ahovR aHHrnug, Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3[00 pm will <br /> be processed the next business day, <br /> 2. The EHD will notify the applicant if any END files exist. An appointment for review will be confirmed approximately ten <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 the EHD staff may not be Immediately available for review. A new application <br /> may be submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff of the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHo td us IwnM7 <br /> PUBLIC RECORDS RELEASE APP RORM <br />