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From:James Robinson Fax:+1(209)7404303 To: Public File Review Regi Fax: +1 (209)464-0138 oege 1 of 1 8/14/2009 12:51 <br /> T �Ety� EHD LOG NUMBER <br /> TE <br /> (("ICL�I% D SAN JOAQUIN COUNTY �' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 14 2009 600 East Main Street, Stockton, CA 95202-3029 ll <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: WWW.sjgov.oid <br /> ENVIRUINMENi HEALTH _t <br /> EERM111 EBUICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: .lanles Robinson BUSINESS/AGENCY: IR Squared Cor llltlnH Inc. <br /> ADDRESS: PO BOX 1744 _ city/State/zip Valley Springs CA 95252 <br /> PHONE(1): 209-772-3841 PHONE(2): Cell_209-6 2-_5445 FACSIMILE: 209-740-4303 <br /> TENTATIVE*APPOINTMENT DATE: AllITl1St 20, Z00 nme: 3 Pm <br /> (Please allow 10 business days from date of application �u - t I�-`W <br /> nly•must be confirmed) <br /> X)CZ CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLO ESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT TE 0x/14/09 <br /> Electronic Information: ❑ List ❑ Map -Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City <br /> 1• 1024 Mellon Avenue Manteca [3 Unit 11; ;•- - <br /> \(i 2. an eca �, u <br /> ICl/I" 3• 4001ndust 'al Park Drive Manteca <br /> 4. 560 Indus ial Park Drive Manteca N0d5i (;10 Unit 3 <br /> 5• 551 Carne ie St antecaTI 0 <br /> B• 555 Carne a St Manteca <br /> , unita <br /> 7. <br /> $ ❑ Unit 5 <br /> 9. <br /> 10. ❑ Unit 6 <br /> Specific Date Range of IV40ration Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 1 L h�Ps kl- <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILMYNEHICLE <br /> ISI OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TRE <br /> UNDERGROUND TANK(MONITOR_ING/REMOVAL)OI, In DOG KENNEL (7)DAIRY <br /> R HAZARDOUS WASTE GENERATOR) ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT Y <br /> N TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> El TATTOO/BOOP PIERCING ❑POOLtSPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 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 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 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 ONLY <br /> a vw X� <br /> P S it <br /> S 5. <br /> EHD 48-M &04/0 PUBLIC RECO RD-RELEASE APP FORM <br />