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-rrtR-'06 08 09: 45a Marrla Tyree Herbert (925) Q47-3738 P. 1 <br /> DATE RECEIVED EHD LOG NUM©E <br /> LI' SAN JOAQUIN COUNTY %W <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web: wcvw.sjgoj. <br /> WIt <br /> r,�t ,1P1UB 1L,-I,C, RECORDS RELEASE APPLICATIONIML <br /> APPLICANT: IV and�.L r1 erbe—y-r- BUSINESS/AGENCY: W61 I <br /> ADDRESS: <br /> //-_t�15 W. Pr1e 'J-* PSt_ 2. ?? LOdi , �A 5240 <br /> PHONE(1): ZJ q'- 53103X 253 PHONE(2): �q ZS)ZIZ� x' 11 FACSIMILE: (9-a9) 75,34-53--7-1 <br /> TENTATIVE*APPOINTMENT DATE:TLLCS • 'F�h- 12L20�� Time: 1 :3O �JWV rY <br /> (Or i.,�Ct'!• <br /> (Please allow 10 business days from date of application submit 1 ar nfarive only-must be confirmed) 19 -& <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH <br /> ^O-R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS pQxible <br /> SIGNATURE OF APPLICANT DATE Z <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ��" ❑ <br /> 1. (UV!}� &oeS �-k S �luekh Unit 1 <br /> 13u ik i e rninals S)+G Porto t(x Si-ocktot7 <br /> 2- .2-11-7 W. YVQShi n St. Si-ock1-D r17 ''S 1 f ❑ Unit <br /> 3. 11 5210 W- WAS hi r1 tort St. S+vik t N o� 1 06 S s) '.u 7 D <br /> a 2 _10 . YvasY�i {on S_{. St)rt.ILi bvl.r a d NW�I Unit <br /> 5. 2521 Por{- Roved F S}ozk}of1 ry <br /> 7. <br /> -----._._ ❑ Unit <br /> 8. <br /> 9. <br /> Z\�t 10. units <br /> Specific Date Range of Information Requested:From tG OIJ-t i QS't- to Pre.SeY-1� <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) :3 HOUSING ABATEMENT "EIL$OLID WASTE FACtLITYNEHICLE <br /> )Zr OTHEIR CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY 'ArWASTE TIRE <br /> Y� UNDERGROUND TANK(MONITORING/REMOVAL)✓ ❑ DOG KENNEL ❑DAIRY <br /> ,Z HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY O MOTEUHOTEL ❑ PUMPER TRUCK/YARDICHEM TOILETS <br /> TATTOO/BODY PIERCING 11POOL/SPA ❑LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:OOPM - 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$98.00 deposit prior to review. . <br /> EHD USE ONLY <br /> "• If you should need further assistance please contact biane Martinez @ (209)468-3425 directly. Thank You*** <br /> • -o % 52 f7 -Nz .✓ <br /> EHD 4846 91142006 <br />