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01/01/2011 1135P FAX 7149687509 ANCHOR ENVIRONMENTAL Qj0001/0001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY <br /> REG"EI ED ENVIRONMENTAL HEALTH DEPARTMENT C Q <br /> 600 East Main Street, Stockton, CA 95202-3029 J <br /> JAN 0 3 2011 Telephone; (209) 466-3420 Fax: (209)464-0138 Web; www.sjgov.org/ehd <br /> E AL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> AfflkVWMCKerr ustNESAnchor Environmental <br /> p <br /> 8592 Acapulco, Huntington Beach CA 9264652636Y <br /> n <br /> ADDRESS: � <br /> 714 290 0073 tomckerr®aol.com 714 966 7509 <br /> PHONE(1): PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow ton basins a from date o1 application aubmlttal•"Tenterlva only-must be confirmed) <br /> 13CHECK BOX TO EXPEDITE RE _, 00� C C.SH OR CHECK ONLY)-REQUEST PROCESSED IN THREE BUSINESS OATS <br /> SIGNATURE OF APPLICANT DATE 1/1/11 <br /> Electronic Information: List ap - $Driptlon; <br /> _ FILE ADDRESS EHD USE ONLY <br /> $treat# Street Name City _ ❑unit 1 <br /> 1, 8807 Thornton Rd Stockton h� <br /> y, Units N, 0 & P unite <br /> 4. <br /> 5. <br /> 8• Urm 4 <br /> 7. <br /> 8. --- n Unit 6 <br /> 9. <br /> 10, a unit 6 <br /> Specific Date Range of Information Requested; From Earliest to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ffUNOEROROUnO TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITY(VEHICLE <br /> CIZOTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINOIREMOVAL)0( 0000 KENNEL 0DAIRY ) �� // <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY K 173MOTELIHOTEL IN PUMPER TRUCKNARDICHEM TOILETS <br /> 171 TATTUOI$ODY PIERCING _` C3 POOLISPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 5:00 AM-5:00PM . EXCLUDING HOLIDAY$. <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(2 9)494.0138 or mall to the above address. Address ranges will <br /> not be accepted .for additional assistanet 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 EHO 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 now 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 at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$99.00 deposit prior to review. <br /> EHD USE ONLY <br /> 6HD a&0a Wlir 1 PUBLIC RECORDS RELEASE APP FORM <br />