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From: James RobinsonFax: +1 (209) 740.4303 <br />To: Public File Review Req, Fez: +1 (209) 464-0138 <br />one 1 of 1 <br />8/14/200912:51 <br />��Fi�{��'1D�./_1r�,a�:��L�:�719� • � _ :�i ' �% ei � • .111a7//i� � ' .i�e..I r �' <br />M1) T <br />R <br />qin�-/ <br />v/FF <br />SAN.IOAQUIN COUNTY <br />EHD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />AUG 14 2009 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.od <br />E 4 <br />EBMI6 P �FRMIT/tiFRVI('FS HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: James Robinson --BUSINESS/AGENCY; JR Squared Coasultin H. III,_ <br />ADDRESS: PO BOX 1744 _ City/State/Zip _Valley Spiings, CA 95252 _ <br />PHONE(,): 209-772-3841 PHONE(2): Cell - 209-6 -5445 FACSIMILE: 209-740-4303 <br />TENTATIVE` APPOINTMENT DATE: <br />(Please allow 10 business days from <br />X)1$ CHECK BOX TO EXPEDITE REQUEST- 5105 FEE (CASH OR CHECK <br />SIGNATURE OF APPLICANT <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />Street Name <br />1• 1024 Mellon Aven <br />--Tag-6— 14ttlon-Averri <br />]kms z <br />(�' 3• TUU Industt'al Park Drive <br />4. 560 Indust ial Park a -iv( <br />6. 551 Carne is St <br />Tme: 3 Pm <br />ly - must be confirmed) <br />IN 3 BUSINESS DAYS <br />TE 08/14/09 <br />USE ONL <br />6. 555 Carne a St Manteca (, t C2,ylpi7 Mr1114 <br />7. `°'" <br />$ ❑ Unit 5 <br />9. <br />TA <br />10. ❑ Units <br />Specific Date Range of Itformation Requested: From to <br />E <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES12 i14/1, <br />N UNDERGROUND TANK (UST) CLEANUP SITE ILOP) 11 HOUSING ABATEMENT 171SOLID WASTE FACILrrY/VEHICLE .�� <br />X OTHER CLEANUP SITE (NON -LOP) In FOOD FACILITY ❑ WASTE TIRE ) <br />D[UNDERGROUND TANK (MOMMOR_ING/�1REMOVAQCa � DOG KENNEL � DAIRY �/� n <br />N HAZARDOUS WASTE GENERATORi ❑ CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT Y <br />Dif TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL C3 PUMPER TRUCK/YARO/CHEM TOILETS <br />TATTOO/BODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />171 MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS AREAVAILABLE FOR REVIEW -MONDAY-FRIDAYa'00 AM.5.00PM - 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 (209) 464.0138 or mail to the atltlress 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 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 $105 deposit prior to review. <br />EHD USE ONI Y <br />SE APP FORM <br />I Jj <br />��Fi�{��'1D�./_1r�,a�:��L�:�719� • � _ :�i ' �% ei � • .111a7//i� � ' .i�e..I r �' <br />�lIA T4ltvUliJ rQ�'/L <br />SE APP FORM <br />I Jj <br />