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Froomm:MMaarcu/7s H. Bole & AssoINes 530+633+0119 122009 16: 12 #140 P.001 <br /> n BOIi��`t,IL�'yH ED EHD LOG NUMBER <br /> W �l�• 1L,1 SAN JOAQUIN COUNTY <br /> it 0 7 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENVIRUNMtNT HEALTIFelephone: (209) 468-3420 Fax: (209)464-0138 Web: WWW.sjgov.o <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: `C' nl-'. BUSINESS/AGENCY: C//G✓i <br /> ADDRESS: /CT`Y b-0C/� `6jrl"-e CltylStatemP ey/jP2/�If114-/ <br /> PHONE(1): .5SJ-6 3-?-OI/7 PHONE(2):,�30_U/�— �o l0�2l,+.11d FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: /,�7 /{�✓.'e Time: 9130 <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST.$105 FEE(CASH <br /> O'R�CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE Zx�410 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLYf <br /> Street# Street Name Cily lf! to <br /> ❑ Unit 1 <br /> n, <br /> U ' ai SN Un)t 22 3• -A), (7, . / <br /> Unita <br /> 4. 1 fi ��1 \ <br /> 5• �C'u //G ❑ Unit4 <br /> 6. 7 Z hT t t�)1A10 c0 � <br /> 7. !� <br /> e. p ItZ <br /> C 5T 0tJ,NoWt Units <br /> 8• Ott', e Unit 6 <br /> CEJ // 65 No co / <br /> Specific Date Range of Information Requested:From to �1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I,II��UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT I3SOLID WASTE FACILITYIVEHICLE 713 •1��\��� <br /> Y/OTHER CLEANUP SITE(NON-LOP) O FOOD FACILITY 13 WASTE TIRE `V•\-'•,A' '•U` <br /> �AZQ-t'T ERGROUNO TANK(MONITORING/REMOVAL) O DOG KENNEL O DAIRY ^ \ <br /> ARDOUS WASTE GENERATOR ❑CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY OMOTELIHOTEL 13 PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑TATTOOIBODY PIERCING O POOL/SPA 13 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 5:00 AM*00PM - EXCLUDING HOUDAYS, <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 I <br /> EHD 48A6 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />