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Oct 23 08 11 : 53a Sierra Delta Corp 1 -559-229-1452P. 1 <br /> • <br /> RECEIVED,' END TOO NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> LI Telephone: (209) 468-3420 Fax: (209) 464-0138 Web;www.sjgov or hd 030 <br /> P PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: J1 fat W,� M allzm Or- V-0�X�j b, BUSINESS/AGENCY: W+a CZA-p- <br /> ADDRESS! 15 010 0ity/stateop 6r2$ CA :1 2x) <br /> PHONE(1): PHONE(2) 1'6174-9 FACSIMILE: S 59.2 29 114 5-Z- <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (PI""allow 10 business days from <br /> d.ial�pqplic i.n.ubminal�­Tvnraffva only-must be confirmed) <br /> 171 CHECK BOX TO EXPEDITE REQUEST 4106 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN I BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1) _ DATE AO_[ 3 '1 Q 2 <br /> Electronic Information; [I List[I Map—Description: — 1 <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Name city /alJ13 Unit I <br /> -FO 7-) <br /> 2. El unit 2 <br /> 3. <br /> 4. Unit 3 <br /> S. oz <br /> nice <br /> 6. <br /> 7. ❑ un'RS <br /> 9. <br /> Unit 0 <br /> 10. <br /> Spactfic Date Range of Information Requested:From jan- qzoc to VUV4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> O(UNDEROROUND TANK(UST)CLEANUP SITE(LOP) 13 HQUSINO ABATEMENT eSOUD WASTE FACILITYNEHIOLI: <br /> OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 13 WASTE TIES <br /> UNDEROROUND TANK(MONITORINGIRFMOVAL) !]000 KENNEL 0 DAIRY <br /> WHAzARDOus WASTE GENERATOR 173 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> E3 TIERED PrReuugu FACILITY r,MOTEL/HOWL 13 PUMPER TRUCKIYAROMMENITOILETS <br /> C!TATTOO/BODY PIERCING 13 PooL/SrA ,CI LANRZAPp�SITES <br /> 0 MEDICALWA3TEFA91LITY IIII(OTHER(PLEASE SPECIFY) r, r <br /> WELL AND SEPTIC PERMIT RECDKDS ARE AVAILABLE FOR REYim-MONDAY-FRICAY 9:00 Am-6;00PIR -EXCLI.ImNa HOLIDAYS. <br /> 1. List up to ten addresses In the space above S@Iaet the typo(s)of files from the list above by checking the appropriate <br /> box("). At least one file type MUST be selected. Fax to(2081464-Q136 or mail to the address Indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm Will be processed the next business day. <br /> 2. The END will notify the applicant If any END flies exist An appointment for review will be confirmed approximately ten (10) <br /> days after racelptOtapplicallon. The flies will be held for a maximum of five bUulne"days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that 13 actively being worked on by EMU 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 EHI)staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a$1105 deposit prior to review. <br /> END USE ONLY <br /> v4. <br /> END 48-" 8104108 PUBLIG RECORDS-RELEASE APP FORM <br />